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Primary Care Liaison

Nephrotic syndrome - pre-referral guideline

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    Definition

    • Proteinuria, Low serum albumin, <25g/l or oedema, elevated cholesterol.

    Initial work-up

    • Electrolytes
    • Urea
    • Creatinine
    • Albumin
    • Urinalysis with microscopy (clean catch urine)
    • FBE
    • C3, C4
    • Serologic work-up indicated in all patients with multi-system disease: ANA, Hepatitis B, C, ANCA

    When to refer

    • Refer prior to treatment:
      • All patients with nephrotic syndrome.

    • Urgent admissionindicated for all patients with nephrotic syndrome.

    Information needed

    • Bring to clinic visit:
      • Laboratory values
    Referral form Download (Word)      
    Parent handout Download (pdf)

        

    Resources

    Kids Connect (RCH Primary Care Liaison)

    Kids Health Info (Parent factsheets online)

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    Contact information                 

    Clinical advice

    		  

    Switchboard - ask for Nephrology specialist
    consultant or registrar on-call:

    		 (03) 9345 5522

    RCH Emergency Department:

    		 (03) 9345 6477


    Outpatients

    		  
    Booking enquiries & 
    appointment rescheduling     (Parents)    		 (03) 9345 5054 
    Rural doctors only (03) 9345 5072 


    Admission enquiries

    		  
    General admission enquiries: (03) 9345 6172

    ED admission enquiries:

    		 (03) 9345 6477

    After hours / Switchboard:

    		 (03) 9345 5522


    Other

    		  
    Seriously unwell child: (03) 9345 7007

    RCH Drug info-line:

    		 (03) 9345 5208

    References

    Paediatric Handbook (2009) Renal conditions and enuresis, Chapter 32 (pp546-566); Colin Jones and Annie Moulden; Eighth Edition, Blackwell Publishing. By the staff of the Royal Children's Hospital, Melbourne, Australia

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