Congenital kidney disorders

Red flags

Consider urgent referral for patients with the following

  • Sudden reduction in renal function
  • Renal colic associated with nephrolithiasis or haematuria

Disease information

Main groups

  • Cystic kidney diseases
    • Autosomal dominant polycystic kidney disease (ADPKD)
    • Autosomal recessive polycystic kidney disease
    • ADPKD Phenocopy Disorders (Renal Cysts and Diabetes Syndrome, TSC, VHL, ADTKD)
    • Nephronophthisis (juvenile and adult)
    • Autosomal dominant tubulointerstitial kidney disease (medullary cystic kidney disease)
    • Medullary sponge kidney
    • Associated with multiple malformation syndrome
      • Tuberous sclerosis complex, Lowe’s syndrome, Von Hippel-Lindau disease
  • Alport’s syndrome and Thin Basement Membrane Disease
  • Bartter’s & Gitelman’s syndromes and inherited tubular disorders
  • Inherited metabolic diseases with renal involvement
    • Glomerular (genetic amyloid, Anderson-Fabry disease)
    • Non-glomerular (renal Fanconi syndrome, cystinosis, cystinuria, hyperoxaluria
  • Congenital nephrotic syndrome (Steroid resistant nephritic syndrome, focal segmental glomerulosclerosis), Nail-Patella syndrome
  • Primary immune glomerulonephritis

Other important information for referring practitioners

Management will depend on the disorder, degree of renal dysfunction and associated defects

Lifestyle changes

  • Encourage smoking cessation and healthy lifestyle, weight loss if obese and exercise
  • Low salt diet

Medical management

  • Genetic counselling

Referral requirements

A referral may be rejected without the following information.

  • Reason for referral
  • Presence of any Red Flags
  • Timeline of current symptoms
  • Co-morbidities
  • Family history
  • If seen by renal specialist previously include last 2-3 letters
  • Current medication and allergies
  • Investigations
    • FBC, E/LFTs, eGFR, Urinary protein analysis, Urine microscopy
    • If anaemic include iron studies, B12 and folate, CRP and PTH
  • Renal tract imaging (Ultrasound, CT or MRI)

Additional referral information (useful for processing the referral)

  • Renal biopsy
  • Genetic testing

Out of catchment

Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander
  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary
  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Fax: 1300 364 952

Electronic: eReferral system

Mail: Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road

Health pathways

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