Nephrology is a branch of internal medicine that deals with the study of the function and diseases of the kidneys.
- The Renal Unit provides a full range of services for adult patients with renal diseases, including the diagnosis and management of acute renal failure, chronic renal disease and nephritic/nephrotic syndrome.
- The unit cares for all renal transplant patients starting from as early as 10 days after the transplant.
- Provides regular dialysis therapy in the form of haemodialysis or peritoneal dialysis.
- Provides extra-corporeal blood purification to patients with intoxication or autoimmune disease.
Who sees a nephrologist?
Patients are referred to nephrology specialists for various different reasons, such as:
- Acute renal failure (a sudden loss of renal function).
- Chronic renal failure.
- Haematuria (blood loss in the urine).
- Proteinuria (the loss of protein, especially albumin, in the urine).
- Kidney stones.
- Cancer of the kidney, mostly renal cell carcinoma, but this is usually the domain of the urologist.
- Chronic or recurrent urinary tract infections.
- Hypertension that has failed to respond to multiple forms of anti-hypertensive medication or that could have a secondary cause.
- Electrolyte disorders or acid/based imbalances.
- Diseases of the bladder and the prostate such as malignancy, stones or obstructions in the urinary tract.
Laboratory tests are almost always aimed at urea, creatinine, electrolytes, and urinalysis, which are frequently the key tests when searching for a diagnosis. More specialised tests can be ordered to discover or link certain systemic diseases to kidney failure such as hepatitis b or hepatitis c, lupus serologies, paraproteinemias (amyloidosis or multiple myeloma) or various other systemic diseases that lead to kidney failure. Collection of a 24-hour sample of urine can give valuable information on the filtering capacity of the kidney and the amount of protein loss in some forms of kidney disease. However, 24-hour urine samples have recently, with regard to chronic renal disease, been replaced with spot urine ratios of protein and creatinine.
Other tests often performed by nephrologists are:
- Renal biopsy - to obtain a tissue diagnosis of a disorder when the exact nature or stage remains uncertain.
- Ultrasound scanning of the urinary tract and occasional examinations of the renal blood vessels.
- CT scanning when mass lesions are suspected. CT scans also help diagnose nephrolithiasis.
- Insertion of temporary peritoneal dialysis catheters.
- Insertion of temporary internal jugular/subclavian/femoral catheters for haemodialysis.
- Conducting slow dialysis therapy CAVHD/CVVHD.
- Charcoal haemoperfusion to remove toxins.
- Renal biopsy under ultrasound guidance.
- Other general medical procedures (ascitic/pleural fluid aspirate, lumbar puncture, bone marrow aspirate, etc.).
Location of Service:
The Renal Unit is located on the 9th Level of the East and Central wings and holds 42 beds plus an additional 4 beds in the West wing.
Hours of Service:
Saturday to Thursday - 07:30 AM – 11:00 PM
24 hours a day, 7 days a week.
Monday 07:30 AM – 14:30 PM – Low Creatinine Clearance Clinic
Tuesday 07:30 AM – 14:30 PM – UAE National Nephro Clinic
Thursday 03:30 AM - 10:30 PM – Expatriate Nephro Clinic
The unit holds daily ward rounds dedicated to providing inpatient care.