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Definition

• Presence of 1+ protein or more on urine dipstick.

Initial work-up

• Perform at least 2 consecutive urine dipsticks or urinalyses 1-2 days apart to confirm the diagnosis
• Check blood pressure and growth
• Perform a dipstick on early morning and an ambulatory urine sample to look for evidence of orthostatic proteinuria
  
  
• Urine tests:
  • Urinalysis with microscopy
  • Spot urine protein to urine creatinine ratio
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• Serum tests (if persistent):
  • Creatinine/Urea
  • Electrolytes
  • Albumin

• Radiology:
  • Renal ultrasound - may complete referral form via Kids Connect: www.rch.org.au/kidsconnect/community_services/Make_a_referral_Medical_Imaging

Information needed

• Bring to appointment:
  • First morning void
  • Growth Records
  • Copies of all laboratory tests
  • Copies or originals for all radiological studies with reports.

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Resources

Kids ConnectÌý(RCH Primary Care Liaison)

Kids Health Info (Parent factsheets online)

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References

Paediatric Handbook (2009) Renal conditions and enuresis, Chapter 32 (pp546-566); Colin Jones and Annie Moulden; Eighth Edition, Blackwell Publishing. By the staff of the Royal Children's Hospital, Melbourne, Australia

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