A Complete urinalysis reports including microscopy (greater than 5rbcs/hpf ; should not proceed with dipstick results only)
Creatinine and electrolytes
C3 complement
Urine calcium/creatinine ratio
Report of Renal ultrasound, if obtained
Documentation of hypertension, if noted
If Lupus is clinically suspected, results of ANA, Double Stranded -DNA, ESR and CBC would be included.
Diagnosis /Symptom: Gross Hematuria
What should the referring provider send?
A Complete urinalysis reports (greater than 5rbcs/hpf )
Creatinine and electrolytes
C3 complement
Report of Renal ultrasound (if obtained)
Documentation of hypertension, if noted
If Lupus is clinically suspected, results of ANA, Double Stranded -DNA, ESR and
CBC would be included.
Diagnosis /Symptom: Proteinuria
What should the referring provider send?
Rule out postural proteinuria, if posturally related and normal serum creatinine and renal ultrasound: no referral needed (benign condition). If non postural related (persistent): urine protein/creatinine ratio greater than 0.2 then proceed to refer and send data.
Creatinine
Serum albumin
Renal ultrasound without evidence of hydronephrosis
Documentation of hypertension, if noted
Diagnosis /Symptom: Nephrotic Syndrome
What should the referring provider send?
All previously obtained blood work including serum creatinine, electrolytes and albumin
Diagnosis /Symptom: Renal Tubular Acidosis
What should the referring provider send?
All previously obtained blood work results including: serum electrolytes, creatinine and venous blood gasses, urinalysis and renal ultrasound report
Diagnosis /Symptom: Hypertension
What should the referring provider send?
Results of previous work up including at least Basic metabolic panel, urinalysis, and report of renal ultrasound with Doppler flow.