NephrologyYour Health. Your Hospital
Our kidneys are vital for life because they filter our blood of its waste products and excess water with the help of a complex network of blood vessels and intricate network of tubes and tubules. The kidneys maintain the fluid, electrolyte, and acid-base regulation that are altered by several disease conditions as well as drugs and toxins.
Full Spectrum Care
We offer a full continuum of care for patients with acute and chronic kidney disease
Nephrology is a medical specialty that involves the study of normal kidney function, kidney problems, the treatment of kidney problems and renal replacement therapy (dialysis and kidney transplantation). A nephrologist is a physician who studies and deals with nephrology. The nephrologist usually works in conjunction with urologists who deal with the surgical aspects of kidney disease and diseases of the bladder and urethra.
The diseases that come under the scope of nephrology include:
The steps taken to diagnose damage and diseases of the kidneys include:
History and physical examination are central to the diagnostic workup in nephrology. This may include:
During your physical examination, your physician will assess your volume state, blood pressure, skin, joints, abdomen and flank.
Urine analysis is very useful in diagnosing kidney issues, as it may reveal:
Glomerular Filtration Rate (GFR)
Other Imaging Studies
Intravenous Urography (IVU)
Most kidney conditions are chronic conditions and so long term follow-up with a nephrologist is usually necessary. Treatment of kidney diseases depends on their cause and pathology. Treatments in nephrology can include:
Chronic Kidney Disease
Impaired kidney function has systemic effects on the body. Chronic kidney disease is typically managed with:
Auto-Immune and Inflammatory Kidney Disease
Vasculitis or transplant rejection may be treated with immunosuppression. Newer, so-called "biologic drugs" or monoclonal antibodies, are also used in these conditions. Blood products including intravenous immunoglobulin and a process known as plasma exchange can also be employed.
End-Stage Renal Failure
End-stage renal failure occurs when the kidneys are no longer able to sustain the demands of the body. Without renal replacement therapy, death from renal failure will eventually result. Dialysis is an artificial method of replacing some kidney function to prolong life.
Currently, renal transplantation is the most effective treatment for end-stage renal failure although its world-wide availability is limited by lack of availability of donor organs. By inserting into the body a healthier kidney from an organ donor and inducing immunologic tolerance of that organ with immunosuppression kidney function will be restored.
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