Microscopic Haematuria
Outpatients | Nephrology (Renal)This condition is treated in the Nephrology (Renal) clinic.
Pre-referral work-up
History
Who is more likely to require a Nephrologist before a Urologist?
- Glomerular Haematuria: Presence of Proteinuria with Haematuria is highly suggestive of a glomerular source (particularly in absence of other explanations for proteinuria- i.e.: known diabetes)
- Glomerular Haematuria with decline in Kidney Function: See Red Flags section of this page.
- Isolated Microscopic Haematuria in patients under 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 the outpatient information for clinicians page, 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
Tests
- MSU
- Renal ultrasound
- FBE
- U&E eGFR
Interim/GP management
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 HealthPathways Tasmania website.
For macroscopic haematuria see urology clinic guidelines
Clinic appointments
🚩 Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Urgent (Category 1)
🚩 (Glomerular Haematuria) Presence of Proteinuria and Haematuria with associated rapid unexplained decline in kidney function (over 25% decline in GFR over 6-12 weeks)
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
Availability
North
Launceston General Hospital
Level 3 - Specialist Clinics
Phone: 1300 977 694
Fax: 03 6777 5227
North West
Phone: 03 6477 7746
Fax: 03 6777 5214
North West Regional Satellite Service
1 Strahan Street
South Burnie TAS 7230
South
Wellington Clinics
Phone: 03 6166 0000
Fax: 03 6234 3982