When to Refer
- Refer to a nephrologist or admit (or both) if child has any of the following:
- Persistent oliguria or anuria despite adequate fluid challenge in a dehydrated child
- Persistent oliguria or anuria that continues after removal of the offending nephrotoxins
- Oliguria or anuria associated with:
- Swelling
- Hypertension
- Gross hematuria
- Abnormal blood chemistry
- Severe systemic signs or symptoms
- Urology referral for oliguria or anuria caused by obstructive uropathy
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