CONSULT REQUEST GUIDELINES                                                                         Print

Elevated Creatinine - Chronic

Suggested Pre-Referral Evaluation and Management Guidelines
1) Confirm chronicity (review prior labs)
2) Refer to nephrology if unclear etiology
3) Refer to nephrology if associated with proteinuria > 0.5 gm/24 hr or if persistent microscopic hematuria
4) Refer to nephrology if GFR < 30 ml/min
Suggested Additional Test/Management Prior to Specialty Visit
1) Renal Ultrasound with dopplers.
2) UA including micro, spot protein:creatinine ratio
3) If anemic assess for iron deficiency (ferritin, iron, TIBC).
4) If iron deficient; consider GI screening as appropriate.
Patient Education/Information (includes preps) The Kidneys and How They Work
Appointment Timeframe If renal function is stable and GFR >20, this is not urgent (30 - 60 days); if GFR <20 or decreasing at rate > 1ml/min/month: urgent (< 30 days)
How to Get Results to Consultant UMHS Patients: See Careweb
External Patients: Hand carry results including ultrasound report
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-647-9160
Or 888-287-1084 (toll free)
Clinic Location Sites Taubman Health Care Center 
UM Consulting Physician General Nephrology
Revised on: 03/21/2011
 
 

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