North South North West Statewide
Who is more likely to require a Nephrologistbefore a Urologist?
- Glomerular Haematuria: Presence of Proteinuria with Haematuria is highly suggestive of a glomerular source (particularly in absence of other explanations for proteinuria- ie: known diabetes)
- Glomerular Haematuria with decline in Kidney Function: See Red Flags section of this page.
- Isolated Microscopic Haematuria in patients <35-40 year old age with no risk factors for urothelial lesions (i.e.: no significant smoking history, occupational exposure or complex urological history
All referrals should comply to referral standards and include in particular:
- Duration of haematuria
- Associated symptoms including diabetes
- Physical examination including blood pressure
- Smoking history, occupational history especially exposure to chemicals
- Past urological/renal history
- Renal ultrasound
- U&E eGFR
To refer a patient with this condition, please see the Nephrology (Renal) clinic page for the full referral process and templates.
Some patients will require referral from Urology to Nephrology and vice versa following initial GP referral- either, before or after, respective investigations by each service.Where possible, we would be happy to arrange these referrals between the 2 services as appropriate.
For more information please see the Tasmanian Health Pathways website.
Urgent / category 1
(Glomerular Haematuria) Presence of Proteinuria and Haematuria with associated rapid unexplained decline in kidney function (>25% decline in GFR over 6-12 weeks)
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.For macroscopic haematuria see urology clinic guidelines
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