What is a Pediatric Nephrologist?

2021 ◽  
Keyword(s):  
Pediatric Nephrologist

scholarly journals Chronic kidney disease – pediatric risk factors

PRILOZI ◽  
2016 ◽  
Vol 37 (1) ◽  
pp. 9-13
Author(s):  
Velibor Tasic ◽  
Aleksandra Janchevska ◽  
Nora Emini ◽  
Emilija Sahpazova ◽  
Zoran Gucev ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Pediatric Nephrologist ◽  
Children And Adolescent ◽  
The World ◽  
Stage Renal Disease ◽  
End Stage ◽  
Standard Risk ◽  
Final Consequence

Abstract The knowledge about the progression of chronic kidney disease is an important issue for every pediatric nephrologist and pediatrician in order to implement appropriate measures to prevent wasting of renal function and the final consequence – end stage renal disease with the need for the dialysis and transplantation. Therefore it is important to know, treat or ameliorate the standard risk factors such as hypertension, proteinuria, anemia, hyperparathyroidism etc. In this review devoted to the World Kidney Day 2016 we will pay attention to the low birth parameters, obesity, hyperuricemia and smoking which emerged as particularly important risk factors for children and adolescent with chronic kidney disease.

scholarly journals Sexuality and Reproductive Health Counseling in Adolescent Renal Transplant Recipients

2014 ◽  
Vol 7 (1) ◽  
pp. 144-151
Author(s):  
F. Ashoor Isa ◽  
H. Pasternak Ryan
Keyword(s):  
Renal Transplant ◽  
Reproductive Health ◽  
Risk Taking ◽  
Medical Condition ◽  
Renal Transplant Recipients ◽  
Transplant Recipients ◽  
Transmitted Infection ◽  
Health Counseling ◽  
Pediatric Nephrologist ◽  
Sexually Transmitted

Normal adolescence marks a period of significant physical, cognitive and psychosocial change. It is characterized by transition from concrete to abstract thought processes and concern for risk taking behaviors. Adolescents and young adults with chronic conditions are at a particular disadvantage and tend to be more vulnerable to risky behavior than their healthy peers. While there currently exists no information on the burden of sexually transmitted infections (STIs) in adolescent renal transplant recipients, they present a particularly worrisome population as they are likely to engage in risk taking behavior when they feel “normal” following transplantation to compensate for poor quality of life endured on dialysis. This is further compounded by adolescents’ false perception that they are unlikely to acquire such infections, and the likely improvement in libido and sexual functioning after transplantation. The potential for acquiring a sexually transmitted infection is concerning given their immunocompromised status, and complex treatment regimens which might have unfavorable interactions with STI treatments. Also, unintentional pregnancy is likely to have a significant impact on their overall medical condition and social functioning thereby impacting their long term allograft outcomes. As the pediatric nephrologist assumes a primary care provider role for these patients following their renal transplant, it becomes increasingly important to be familiar with basic reproductive health counseling techniques and available contraceptive methods on the market. Until consensus guidelines and specific recommendations for reproductive health counseling are developed for adolescent renal transplant recipients, this review provides a brief summary of available knowledge in those areas.

scholarly journals Presentation of the Child with Renal Disease and Guidelines for Referral to the Pediatric Nephrologist

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Amin J. Barakat
Keyword(s):  
Urinary Tract ◽  
Renal Disease ◽  
Systemic Disease ◽  
Renal Involvement ◽  
Signs And Symptoms ◽  
Pediatric Nephrologist ◽  
Modes Of Presentation ◽  
Renal Tubular ◽  
High Index Of Suspicion

Renal disease is a major cause of morbidity and mortality. Pediatric patients with renal disease, especially younger ones may present with nonspecific signs and symptoms unrelated to the urinary tract. Pediatricians, therefore, should be familiar with the modes of presentation of renal disease and should have a high index of suspicion of these conditions. Affected patients may present with signs and symptoms of the disease, abnormal urinalysis, urinary tract infection, electrolyte and acid-base abnormalities, decreased renal function, renal involvement in systemic disease, glomerular and renal tubular diseases, congenital abnormalities, and hypertension. Pediatricians may initiate evaluation of renal disease to the extent that they feel comfortable with. The role of the pediatrician in the management of the child with renal disease and guidelines for patient referral to the pediatric nephrologist are presented.

scholarly journals Tuberous sclerosis: a clinical case in practice of pediatric nephrologist

2020 ◽  
pp. 100-103
Author(s):  
V. Dudnyk ◽  
◽  
G. Zvenigorodska ◽  
I. Andrikevych ◽  
H. Mantak ◽  
...  
Keyword(s):  
Tuberous Sclerosis ◽  
Clinical Case ◽  
Pediatric Nephrologist

scholarly journals Antenal hydronephrosis

2018 ◽  
Vol 97 (3) ◽  
pp. 287-294
Author(s):  
Amilcar Martins Giron
Keyword(s):  
Urinary Tract ◽  
Good Condition ◽  
Voiding Cystourethrography ◽  
Functional Evaluation ◽  
Pediatric Nephrologist ◽  
Non Invasive ◽  
Technical Advances ◽  
Genitourinary Anomalies ◽  
To Receive

Genitourinary anomalies can be detected in the antenatal period with incidence of 0.5 a 1% in gestational population; 20 a 30% of these anomalies involve the urinary tract. Hydronephrosis is the most frequent urinary tract anomaly followed by cystic anomalies. Currently, technical advances of high-resolution ultrasound identify, in a non-invasive way, the gestational anatomy. The evaluation of the urinary tract, by means of complementary examinations: precocious abdominal and pelvic ultrasound (US), laboratory analysis, functional evaluation (DTPA99 -glomerular function; DMSA99 -tubular function and MAG99 -MAG-3), voiding cystourethrography and others if necessary. Conclusion - Every pregnant woman should undergo at least one morphological ultrasound examination carried out in satisfactory conditions and by qualified professional during the prenatal follow-up to identify possible malformations of the fetus. Following a pre-established roadmap of complementary examinations, it is possible to treat the pathology safely, allowing the newborn to receive hospital discharge in good condition, with a mandatory multidisciplinary outpatient follow-up with pediatric, nephrologist and pediatric urologist’s consultations.

Urinary tract infection that a pediatric nephrologist must keep in mind: Answers

2019 ◽  
Vol 35 (5) ◽  
pp. 795-797
Author(s):  
Gökçen Erfidan ◽  
Demet Alaygut ◽  
Eren Soyaltın ◽  
Cemaliye Başaran ◽  
Seçil Arslansoyu Çamlar ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pediatric Nephrologist

scholarly journals Infection-Related Focal Segmental Glomerulosclerosis in Children

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Anne Katrin Dettmar ◽  
Jun Oh
Keyword(s):  
Focal Segmental Glomerulosclerosis ◽  
Viral Infections ◽  
Parvovirus B19 ◽  
Systemic Infection ◽  
Human Immune Deficiency Virus ◽  
Steroid Resistant ◽  
Pediatric Nephrologist ◽  
Segmental Glomerulosclerosis ◽  
B Virus ◽  
Viral Components

Focal segmental glomerulosclerosis (FSGS) is the most common cause of steroid resistant nephrotic syndrome in children. It describes a unique histological picture of glomerular damage resulting from several causes. In the majority of patients the causing agent is still unknown, but in some cases viral association is evident. In adults, the most established FSGS causing virus is the human immune-deficiency virus, which is related to a collapsing variant of FSGS. Nevertheless, other viruses are also suspected for causing a collapsing or noncollapsing variant, for example, hepatitis B virus, parvovirus B19, andCytomegalovirus. Although the systemic infection mechanism is different for these viruses, there are similarities in the pathomechanism for the induction of FSGS. As the podocyte is the key structure in the pathogenesis of FSGS, a direct infection of these cells or immediate damage through the virus or viral components has to be considered. Although viral infections are a very rare cause for FSGS in children, the treating pediatric nephrologist has to be aware of a possible underlying infection, as this has a relevant impact on therapy and prognosis.

The role of the pediatric nephrologist in the care of children with diabetes mellitus

1991 ◽  
Vol 5 (3) ◽  
pp. 359-363 ◽  
Author(s):  
Pascale Lane ◽  
Michael Steffes ◽  
S. Michael Mauer
Keyword(s):  
Diabetes Mellitus ◽  
Pediatric Nephrologist

Renal dysfunction in methylmalonic acidurias: review for the pediatric nephrologist

2012 ◽  
Vol 28 (2) ◽  
pp. 227-235 ◽  
Author(s):  
Marina A. Morath ◽  
Friederike Hörster ◽  
Sven W. Sauer
Keyword(s):  
Renal Dysfunction ◽  
Pediatric Nephrologist
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