Hello Doctors,
Nephrologists work with patients to identify kidney diseases, delay progression of kidney diseases and manage complications of kidney diseases.
Below are the top reasons to refer a patient to a nephrologist.
1. eGFR < 30 mL/min/1.73 m2 : An estimated glomerular filtration rate (eGFR) less than 30 indicates severe kidney dysfunction. Nephrologist can provide specialized care and guidance in managing this condition.
2. UACR >/= 300 mg/g : Elevated urine albumin-to-creatinine ration (UACR) suggests kidney damage, especially in patients with diabetes or hypertension. A nephrologist can assess the severity and recommend appropriate interventions.
3. Non-urological hematuria : Blood in urine (hematuria) can be a sign of kidney or urinary tract issues. Nephrologists investigate the cause and tailor treatment accordingly.
4. Rapid eGFR decline : A sudden drop in eGFR warrants urgent evaluation by a nephrologist. Identifying the cause early can prevent further deterioration.
5. CKD with Anemia : Chronic kidney disease (CKD) often leads to anemia due to reduced erythropoietin production. Nephrologists address anemia management and its impact on overall health.
6. CKD with abnormal bone & mineral metabolism : Disturbances in calcium, phosphorus, and parathyroid hormone levels are common in CKD. Nephrologists optimize bone health and prevent complications.
7. Serum K > 5.5 mEq/L : Elevated potassium levels (hyperkalemia) can be life threatening. Nephrologists assess the cause and recommend appropriate dietary adjustments or medications.
8. Resistant Hypertension : When blood pressure remains uncontrolled despite multiple medications including a diuretic, nephrologists explore underlying kidney-related factors and tailor treatment.
9. Recurrent Nephrolithiasis : Frequent kidney stone formation requires nephrologist evaluation to prevent complications and recurrence.
10. Hereditary Kidney Disease : Genetic kidney disorders (such as polycystic kidney disease) benefit from specialized nephrology care.
Ready to connect and communicate with Nephrologists? Download our mobile app (TelemedReferral) today and join our growing community of doctors!
