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Table 1 Indications for Referral

From: Changing outpatient referral patterns in a small pediatric nephrology practice

HBP

Elevated blood pressures/hypertension

HEM/PRO

Hematuria and/or proteinuria

UTI/VUR

Urinary tract infection and/or vesicoureteral reflux

ABN IMAGING

Includes solitary kidney, hydronephrosis, dilation of collecting systems, horseshoe kidney, duplicated collecting systems, isolated simple cysts, multicystic kidney, and other minor abnormalities such as abnormal size or appearance of one or both kidneys

↓GFR

Decreased glomerular filtration rate, acute or chronic, includes hemolytic uremic syndrome

STONES/NC

Stones/nephrocalcinosis and hypercalciuria

MICROALB

Microalbuminuria

GLOM/VAS

Glomerular disease or vasculitis, includes nephrotic syndrome, Henoch Schonlein purpura, hereditary nephritis, acute glomerulonephritis or vasculitis of any type

VOIDING ISSUES

Includes enuresis, urinary frequency or urgency, dysuria, polyuria, daytime incontinence

ABN LABS

Abnormal laboratory studies (urine or blood) excluding hypercalciuria, microalbuminuria

OTHER

Such as tuberous sclerosis, polycystic kidney disease, Bardel Biedel syndrome, Beckwith Wiedeman, prenatal counseling, edema, flank pain, family history of kidney disease