CONSULT REQUEST GUIDELINES                                                                         Print

Ureteral Duplication

Suggested Pre-Referral Evaluation and Management Guidelines Antibiotic Prophylaxis until evaluation:
Amoxicillin (20mg/kg/ day) if < 3mo or Bactrim (2mg of TMP/kg/day).
If bladder abnormalities then urology referral is recommended.
Suggested Additional Test/Management Prior to Specialty Visit Renal Ultrasound, Urine Culture, Urine Protein: Creatinine ratio, Urinalysis, consider basic metabolic panel, VCUG (may be scheduled for the day of appointment)

Please send records/images of Renal Ultrasound and other renal imaging
Patient Education/Information (includes preps)  
Appointment Timeframe Routine or next available. If associated with UTI should be seen within 4 weeks
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-4210 or 1-877-543-7789 (toll free)
Clinic Location Sites C.S. Mott Children’s Hospital
Northville Health Center
UM Consulting Physician Pediatric Nephrology Faculty
Revised on: 11/20/2014



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