Renal Stones

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to referral standards and include in particular:

  • Pain site/frequency/intensity
  • Onset of symptoms

Tests

  • MSU (microscopy and culture)
  • Serum Ca++, uric acid and phosphate
  • X-ray renal tract
  • CT kidneys/ureters/bladder (non-contrast)
  • U&Es

Interim/GP management

To refer a patient with this condition, please see the Urology clinic page for the full referral process and templates.

Encourage hydration.

Advise patient about symptoms of systemic infection and of obstruction and when to seek help.

For more information please see the Tasmanian Health Pathways website.

Emergency

Refer urgently to Emergency Department for the following:

Poorly controlled renal/ureteric colic

Obstructed kidney

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

For recurrent renal stones consider referral to Nephrology Clinic

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6348 7382
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

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