North South North West Statewide
Who does usually need to be referred to a nephrologist with a suspicion of GN?
- Active Urine Sediment (Haematuria and Proteinuria) with decline in kidney function
- Nephrotic Syndrome- Oedema, Hypoalbuminemia, >3.5g/24hr urine protein – see Proteinuria <Link to Proteinuria>
- Proteinuria or haematuria, in patients with known or suspected associated disease (SLE, Wegners, Hep C infection or risk factors)
- Unexplained proteinuria (usually >0.5g/day) – see Proteinuria <Link to Proteinuria>
- Unexplained Glomerular haematuria (proteinuria and haematuria) - particularly in younger patients
All referrals should comply to referral standards and include in particular:
- History of condition
- Past history of renal disease and co-morbidities
- Comprehensive metabolic panel (includes calcium, magnesium, phosphate, urea, bicarbonate, chloride, blood glucose )
- Consider lipids
- Urine Albumin/Protein Quantification (Generally Urine ACR)
- Consider renal ultrasound if anatomical imaging needed
To refer a patient with this condition, please see the Nephrology (Renal) clinic page for the full referral process and templates.
For more information please see the Tasmanian Health Pathways website.
Urgent / category 1
Anyone with an acute presentation and signs of acute glomerulonephritis (Active Urine Sediment and >25% decline in GFR over 6-12 weeks) should be regarded as a medical emergency and referred without delay
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
* Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489 OR contact Renal Advanced Trainee or Nephrologist on Service via RHH Switchboard (03) 6222 8303 to facilitate urgent review/advice.
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
We will endeavour to see these patients within 12 weeks
Next available appointment