Glomerulonephritis

Availability

North South North West Statewide

Pre-referral work-up

History

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

Tests

  • FBC
  • UEC
  • LFT
  • 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

Interim/GP management

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.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - 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

Urgent:

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.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment