Print This Page     Close Window Consult Request Guidelines for Elevated Creatinine - Chronic     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