Definition

• Presence of 1+ protein or more on urine dipstick.

Initial work-up

• Perform at least 2 consecutive urine dipsticks or urinalyses 1-2 days apart to confirm the diagnosis
• Check blood pressure and growth
• Perform a dipstick on early morning and an ambulatory urine sample to look for evidence of orthostatic proteinuria
  
  
• Urine tests:
  • Urinalysis with microscopy
  • Spot urine protein to urine creatinine ratio
                (N=>30mg/mmol)

• Serum tests (if persistent):
  • Creatinine/Urea
  • Electrolytes
  • Albumin

• Radiology:
  • Renal ultrasound - may complete referral form via Kids Connect: www.rch.org.au/kidsconnect/community_services/Make_a_referral_Medical_Imaging

Information needed

• Bring to appointment:
  • First morning void
  • Growth Records
  • Copies of all laboratory tests
  • Copies or originals for all radiological studies with reports.

Resources

Kids Connect (RCH Primary Care Liaison)

Kids Health Info (Parent factsheets online)

Contact information                 

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