Renal medicine, or nephrology, involves the care of patients with all forms of kidney disease. A major part of the work of renal specialists is the management of patients with acute kidney injury or advanced chronic kidney disease. This may involve renal replacement therapy, by dialysis or kidney transplant.
In addition, renal physicians provide care for patients with kidney disease without impairment of kidney function, including proteinuria and nephrotic syndrome; patients who have kidney involvement in multisystem immune disease such as systemic lupus and vasculitis; and patients with tubular or other metabolic disorders affecting the kidney. Renal physicians work closely with urologists to provide care for patients with recurrent urinary tract infections and kidney stone disease, amongst other things, and with obstetricians to manage kidney disorders in pregnancy.
Nephrology has a strong multiprofessional approach, with close collaboration with transplant surgeons, and teamwork with specialist nurses, dieticians, psychologists, dialysis technicians etc. Also, prevention and early detection of kidney disease involves working with other hospital specialties (such as diabetic medicine and hypertension) and GPs