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Renal Medicine (Nephrology) guides

23 plain-English, evidence-linked guides in Renal Medicine (Nephrology), with clinical review status shown on each page.

Acute kidney injury treatment (Management of acute kidney injury (AKI))Urgent treatment to support the kidneys, find and reverse the cause of a sudden drop in kidney function, and protect the kidneys while they recover.Anaemia of kidney disease management (Management of anaemia of chronic kidney disease)Treatment to raise a low blood count caused by kidney disease, usually using iron and, when needed, injections that help the body make red blood cells.Blood in urine (haematuria) investigation (investigation of haematuria)A set of tests to find the cause of blood in the urine, including ruling out serious causes such as cancer.Chronic kidney disease treatment (Management of chronic kidney disease (CKD))Long-term treatment to slow the loss of kidney function, protect the heart and blood vessels, and manage the effects of reduced kidney function over time.Diabetic kidney disease management (Management of diabetic kidney disease (diabetic nephropathy))Ongoing treatment to slow kidney damage caused by diabetes and to lower the linked risk of heart and circulation problems.Dialysis access (fistula) assessment (Vascular access assessment for haemodialysis (including AV fistula vein mapping))An assessment, usually including an arm ultrasound, to plan the best way to connect you to a dialysis machine if your kidneys are failing, most often by creating a fistula.Electrolyte disorder assessment (Assessment of electrolyte disorders (serum electrolyte testing))Blood and urine tests, with a clinical review, to find out why salts such as sodium and potassium are too high or too low, and what is causing it.Glomerulonephritis management (management of glomerulonephritis (glomerular disease))Ongoing specialist care for inflammation or damage of the kidney's filters, aiming to protect kidney function and treat the cause.Haemodialysis (Haemodialysis for kidney failure)A treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can no longer do it.Holiday dialysis (Dialysis away from base (holiday haemodialysis))Arranging your usual dialysis at a unit away from home so you can travel or take a holiday safely.Kidney (nephrology) consultation (Nephrology specialist consultation)An appointment with a kidney specialist (nephrologist) to assess how your kidneys are working, find out why, and agree a plan to protect them and manage symptoms.Kidney biopsy (Percutaneous renal (kidney) biopsy)A test in which a fine needle is used, guided by ultrasound, to take a tiny sample of kidney tissue so it can be examined under a microscope to find the cause of a kidney problem.Kidney function blood tests (eGFR) (Renal function tests: serum creatinine and estimated glomerular filtration rate (eGFR))A blood test that measures creatinine and other markers to estimate how well your kidneys are filtering your blood, reported as an eGFR.Kidney stone prevention and assessment (metabolic assessment and prevention of nephrolithiasis)An assessment to work out why you form kidney stones and what changes or treatment can lower the chance of getting more.Kidney transplant assessment (Assessment of suitability for kidney transplantation)A series of tests, scans and consultations to work out whether a kidney transplant is right and safe for you, and to prepare you for the waiting list or a living-donor transplant.Kidney ultrasound (Renal (kidney) ultrasound scan)A usually not painful scan that uses sound waves to look at the size, shape and structure of your kidneys, and often your bladder, without any radiation.Peritoneal dialysis (Peritoneal dialysis (PD))A home-based treatment for kidney failure that uses the lining of your own tummy, and a soft tube, to clean your blood without a dialysis machine filtering it directly.Plasma exchange (plasmapheresis) (Therapeutic plasma exchange (TPE))A treatment that removes the liquid part of your blood (plasma), to take out harmful substances such as antibodies, and replaces it with a substitute fluid before returning the blood to you.Polycystic kidney disease management (management of autosomal dominant polycystic kidney disease (ADPKD))Ongoing specialist care for an inherited condition in which cysts grow in the kidneys, aiming to protect kidney function and manage symptoms and family risk.Protein in urine (proteinuria) investigation (investigation of proteinuria)Tests to confirm and measure protein leaking into the urine and to find out why, because it can be an early sign of kidney disease.Recurrent urinary tract infection assessment (assessment of recurrent urinary tract infection (rUTI))An assessment to find out why urinary infections keep coming back and to plan ways to reduce how often they happen.Resistant high blood pressure care (Management of resistant (difficult-to-control) hypertension)A specialist review for high blood pressure that stays above target despite three or more blood pressure medicines, to check the readings, look for hidden causes and adjust treatment safely.Urine albumin / protein testing (Urine albumin-to-creatinine ratio (ACR) and protein-to-creatinine ratio (PCR) testing)A simple urine test that measures albumin or protein leaking into the urine, used to look for early kidney damage, especially in people with diabetes or high blood pressure.

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