My 17 year old grandson has protein total urine excretion 417, creatinine clearance 50, creatinine clearance BSA corrected 46, creatinine serum/plasma 1.20, creatinine time urine 29.1, blood urea nitrogen 28, blood urea nitrogen 28. They can’t get him into a local nephrologist until June. Should I take him to the big city. What is going on?

The normal for 24 hour protein excretion into the urine is less than 150 milligrams per 24 hours. His creatinine clearance is also low. The normal for a creatinine clearance in a 17 year old boy should be greater than 90 milliliters per minute (ml/min). Hence, the information would suggest kidney disease is present. The primary care physician for the 17 year old should be contacted to determine the urgency of consultation needed. He or she should have an idea of how urgent a referral to a nephrologist might be.

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