Which specialist consultations are beneficial to patients with pediatric hemolytic uremic syndrome (HUS)?

Updated: Nov 12, 2018
  • Author: Robert S Gillespie, MD, MPH; Chief Editor: Craig B Langman, MD  more...
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Answer

See the list below:

  • Nephrologist: Most patients with hemolytic-uremic syndrome require assistance, if not primary management, from a nephrologist.

  • Hematologist/oncologist: Consult with a hematologist or oncologist if needed for assistance with transfusion management. Patients with aHUS have findings very similar to thrombotic thrombocytopenic purpura (TTP), which is traditionally considered a hematologic disorder, and a hematologist/oncologist may provide assistance with evaluation and management.

  • Cardiologist: Consult with a cardiologist if the patient has cardiac failure or other abnormalities.

  • Neurologist: Consult with a neurologist if the patient has seizures or other CNS findings.

  • Endocrinologist: Consult with an endocrinologist if the patient develops diabetes due to pancreatitis.

  • Surgeon: Consult with a surgeon for evaluation of abdominal pain or placement of dialysis access.

  • Social worker: Consult with a social worker for patient and family support with school, financial, and coping/adjustment issues.

  • Child life specialist: Consult with this specialist to help the child understand medical care and find age-appropriate strategies to facilitate treatments.

  • Psychologist/psychiatrist: Consult with this specialist if the patient has depression, anxiety, or adjustment issues related to disease.

  • Dietician: Consult with a dietician to help manage nutrition, especially in patients with inadequate oral intake.

  • Physical therapist: Patients with hemolytic-uremic syndrome may be bedridden for a prolonged time because of pain, CRRT, and a generally ill state. Physical therapy can help patients maintain strength, reduce muscle wasting, and prevent deep venous thromboses.


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