CLINICAL DEPARTMENTS

Kidney Care Specialty Hub

Access clinical diagnostics, advanced hemodialysis protocols, interventional access surgeries, and specialized dietary support.

Kidney clinics

Chronic Kidney Disease Clinic

Kidney disease may develop without pain or obvious symptoms. This clinic helps people with persistently reduced kidney function or protein in the urine understand the cause, protect remaining function and plan ongoing care.

Clinical Pathway

Kidney clinics

Diabetes and Kidney Care

Diabetes can damage the kidneys before symptoms appear. This service assesses urine albumin and kidney function and brings kidney protection into your diabetes care.

Clinical Pathway

Kidney clinics

Hypertension and Kidney Artery Assessment

High blood pressure can both cause and result from kidney disease. We assess difficult-to-control blood pressure and investigate secondary causes when clinical findings suggest them.

Clinical Pathway

Kidney clinics

Protein in Urine and Glomerular Diseases

The glomeruli are the tiny filters inside the kidneys. Disease affecting them can cause protein or blood in the urine, swelling and reduced kidney function. We assess nephrotic and nephritic syndromes, IgA nephropathy, FSGS, membranous nephropathy and minimal change disease.

Clinical Pathway

Kidney clinics

Lupus and Autoimmune Kidney Disease

Lupus and other immune diseases can inflame the kidneys, sometimes before symptoms develop. Kidney assessment is important even if joint or skin symptoms are mild.

Clinical Pathway

Kidney clinics

Heart and Kidney Care

Heart and kidney problems often affect each other. This service supports people with heart failure, fluid retention or kidney-function changes during cardiac treatment.

Clinical Pathway

Kidney clinics

Acute Kidney Injury Assessment and Recovery

A sudden fall in kidney function can occur with infection, dehydration, obstruction or medicines. Acute kidney injury needs prompt assessment. Severe illness requires hospital care; this service also supports recovery after discharge.

Clinical Pathway

Kidney clinics

Electrolyte and Acid Base Disorders

Abnormal sodium, potassium or other salts can affect muscles, nerves and the heart. We investigate persistent or recurrent abnormalities and disturbances of the body’s acid balance.

Clinical Pathway

Kidney clinics

Polycystic and Hereditary Kidney Disease

Multiple kidney cysts or kidney disease affecting several relatives may need a hereditary assessment. We evaluate polycystic kidney disease and other inherited conditions, including Alport syndrome and selected tubular disorders.

Clinical Pathway

Kidney clinics

Neurogenic Bladder and Kidney Protection

Nerve-related bladder problems can affect urine storage or emptying and may put the kidneys at risk. This service assesses bladder-related kidney concerns in coordination with urology.

Clinical Pathway

Dialysis

Hemodialysis and Hemodiafiltration

Hemodialysis removes waste and excess fluid when the kidneys cannot meet the body’s needs. Hemodiafiltration, or HDF, combines dialysis with additional filtration and may be considered for suitable patients where available.

Clinical Pathway

Dialysis

Peritoneal Dialysis Starting Treatment and Follow up

Peritoneal dialysis uses the lining of your abdomen to filter waste through dialysis fluid. CAPD uses manual exchanges; APD uses a machine, commonly overnight. Suitability depends on your health, preferences and home support.

Clinical Pathway

Transplant

Kidney Transplant Preparation

Transplant assessment helps determine whether kidney transplantation is a suitable option and identifies issues to address beforehand. Assessment can begin before dialysis in appropriate patients.

Clinical Pathway

Transplant

Kidney Transplant Follow up

A transplanted kidney needs lifelong care. Follow-up monitors graft function, rejection risk, infection and the effects of anti-rejection medicines.

Clinical Pathway

Diagnostics

Kidney Biopsy

A kidney biopsy takes small tissue samples to help explain kidney disease when blood and urine tests are insufficient. It may guide treatment for protein leakage, inflammation or a problem with a transplanted kidney.

Clinical Pathway

Diagnostics

Kidney and Bladder Ultrasound and Doppler

Ultrasound uses sound waves to assess kidney and bladder structure without ionizing radiation. Doppler adds information about blood flow when needed.

Clinical Pathway

Diagnostics

Liver Shear Wave Elastography

Liver elastography measures liver stiffness to help assess the likelihood of scarring in chronic liver disease. It is a non-invasive ultrasound-based assessment.

Clinical Pathway

Diagnostics

X Ray and Intravenous Urography

Plain X-rays and selected contrast examinations can answer specific diagnostic questions. Intravenous urography, or IVU/IVP, uses iodinated contrast and serial X-rays to show the urinary tract.

Clinical Pathway

Diagnostics

Barium and Gastrointestinal Contrast Studies

Contrast studies show the movement and outline of selected parts of the digestive tract. The exact examination depends on your symptoms and the referring clinician’s question.

Clinical Pathway

Diagnostics

Echocardiography

An echocardiogram uses ultrasound to assess the heart’s pumping function, chambers, valves and surrounding fluid. It can support assessment of breathlessness, hypertension and heart–kidney problems.

Clinical Pathway

Laboratory and genetics

Laboratory Testing

Laboratory tests help diagnose kidney problems and monitor treatment. The appropriate tests depend on your condition; a large panel is not necessary for every patient.

Clinical Pathway

Laboratory and genetics

Kidney Genetic Testing and Counseling

Genetic testing may help explain inherited or unexplained kidney disease and inform family assessment. The right test depends on the clinical question, not simply the largest available panel.

Clinical Pathway

Vascular access

Interventional Nephrology and Dialysis Access

A working dialysis access is essential for effective hemodialysis. This service brings together access assessment, procedure planning and coordination of appropriate intervention.

Clinical Pathway

Vascular access

Dialysis Fistula and Graft Planning and Creation

A fistula joins an artery to a vein; a graft uses a connecting tube. The best option depends on your vessels, expected dialysis course, health and preferences.

Clinical Pathway

Vascular access

Ultrasound Mapping Before Dialysis Access

Vascular mapping assesses arteries and veins to help plan dialysis access. It is especially useful when examination alone does not provide enough information or access failure risk is higher.

Clinical Pathway

Vascular access

Fistula and Graft Complications

Pain, swelling, skin changes, bleeding or poor dialysis flow can signal an access problem. We assess narrowing, clotting, aneurysms, infection and reduced blood supply to the hand.

Clinical Pathway

Vascular access

Hemodialysis Catheter Care

A dialysis catheter may be needed urgently or when another access is unsuitable or not ready. Catheter care includes choosing the appropriate type, maintaining function and reducing infection risk.

Clinical Pathway

Support

Kidney Nutrition

Food advice should fit your kidney condition, appetite, culture and daily routine. There is no single kidney diet that suits everyone.

Clinical Pathway

Kidney clinics

Kidney Stone Prevention and Metabolic Assessment

Repeated stones may have a treatable dietary, metabolic or inherited cause. Prevention focuses on why stones form and how to reduce recurrence.

Clinical Pathway

Support

Remote Kidney Follow up

Remote follow-up can support selected stable patients between face-to-face visits. It may include reviewing results, symptoms and home measurements through the center’s agreed communication channel.

Clinical Pathway

Dialysis

Dialysis Infection Prevention and Safety

Infection prevention is part of every dialysis treatment. It includes hand hygiene, safe access handling, clean stations and safe medication practices.

Clinical Pathway