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Consult Request Guidelines
for Pelvic/Ectopic Kidney
Pelvic/Ectopic Kidney
Suggested Pre-Referral Evaluation and Management Guidelines
If hydronephrosis on ultrasound in a newborn, start antibiotic prophylaxis Amoxicillin 20 mg/kg/day Assess BP
Suggested Additional Test/Management Prior to Specialty Visit
Patient Education/Information (includes preps)
Ectopic Kidneys
Appointment Timeframe
If hydronephrosis usually with follow-up RUS and VCUG at 4-8 weeks. Without hydeonephrosis routine / Next available
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
UM Consulting Physician
Pediatric Nephrology Faculty
Revised on:
10/26/2012