- Evaluate and treat patients with renal insufficiency, significant proteinuria, past renal transplant, SLE with possible nephropathy, and refractory hypertension.
Appropriate patients for referral include:
- Renal Insufficiency (men Cr ≥ 1.4, women Cr ≥ 1.2 or SLE with any increase)
- Proteinuria ≥ 500mg/day (urine protein/urine creatinine ratio ≥ 0.5)
- Uncontrolled Hypertension (persistent SBP ≥ 160 despite compliance with 3 or more antihypertensive medications)
- Renal Transplant
- SLE with abnormal urinalysis or increased creatinine
Please do NOT refer the following patients:
- Kidney stones (refer to Urology Clinic.)
- Hematuria with normal renal function and no proteinuria (refer to Urology Clinic)
- Proteinuria on dipstick alone (must have qualitative urine protein/urine creatinine ratio ≥ 0.5)
- Pediatric patients (age<18)
Documentation required for scheduling an appointment:
- Completed Referral form
- Past Medical History (PMH)
- Current medication list
- Most recent progress note describing condition for which patient is being referred.
- Labs need to be within 1 month at the time of referral
- Renal ultrasound need to be within last 6 months
- Retinal exam need to be within last 2 years
- For Hospital and ER follow up, lab work 48 hours before appointment date
Revised May 2015
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