Clinical feature | Evaluation and monitoring | Interventions |
Congenital anomalies of the kidney and urinary tract (CAKUT) | - Comprehensive metabolic panel, repeated annually
- Kidney ultrasound, repeat annually if cysts are present
- Uterine ultrasound when age-appropriate
| - Urology and pediatric nephrology referral, depending on anomalies
- Urology or gynecology referral for uterine anomalies
|
Chronic kidney disease with a bland urinary sediment | - Estimated GFR, repeated annually or more frequently if decreasing
| - ACE inhibitor or ARB for hypertension
- Avoid nephrotoxic medications
|
Maturity onset diabetes of youth (MODY) type 5 | - Hemoglobin A1C, repeated annually
| - Oral therapy such as a sulfonylurea may be used initially
- Insulin may be required with disease progression
- Standard diabetes care
|
Hypomagnesemia | - Serum magnesium level, repeated annually
- If hypomagnesemia is present, baseline ECG to evaluate QTc
| - Magnesium supplementation as needed
|
Hyperuricemia and gout | - Serum urate level, repeated annually
- Clinical evaluation for gout as needed
| - Allopurinol for secondary prevention if gout develops
|
Increased LFTs | - LFTs, repeated annually
- If LFTs are elevated, abdominal US for liver imaging
| |