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Which clinic has a nephrologist? Consultative and diagnostic nephrology department

13.11.2018

Having considered the concepts of neurologist and nephrologist, it is easy to understand the difference between them if we consider in detail the work of the second doctor.

Nephrology is a science whose knowledge is aimed at studying the kidneys, monitoring their development, and identifying hereditary pathologies.

Nephrologist – medical worker, specializing in diagnosis, treatment and prevention kidney diseases and illnesses associated with the process urinary tract.

When to see a nephrologist

There are a number of symptoms characteristic of pathologies that interfere with kidney function.

These include:

  • unreasonable increase;
  • absence or frequent urination accompanied by pain;
  • transform ;
  • high temperature without symptoms;
  • first stage of diabetes mellitus;
  • swelling on the face, lower and upper extremities;
  • presence of bloody discharge in urine;
  • pain syndrome in the spinal and vertebral regions.

If any of the signs are present, you should consult a doctor.

Diagnosis of diseases by a nephrologist

To confirm or refute the disease, diagnostics will be required, which consists of instrumental and laboratory examination. In addition to collecting anamnesis and listening to complaints, you need to take tests. The conclusion is made on the basis of test results indicating the level of electrolytes, urea,.

There are diagnostic methods such as:

A nephrologist and a neurologist perform MRI and CT scans, which allow the images to provide a reliable clinical picture.

The specific examination method depends on the patient’s symptoms and the severity of the disease. The doctor determines the need for a diagnostic course based on the data obtained after the tests.

Treatment of diseases by a nephrologist

The specialist’s actions include the use of therapy aimed at eliminating kidney problems. He works with patients who have:

  • nephritis;
  • stones;
  • nephropathies inherited from close relatives;
  • fluid imbalance;
  • , which negatively affects the kidneys;
  • cell death that has progressed to the acute stage;
  • amyloidosis;
  • chronic renal failure.

The doctor's competence does not include illnesses the treatment of which involves the use of operations. Factors that influenced the development of symptoms include food or drug intoxication, as well as viral or cold irritants.

Neurologist is a doctor who treats neurological diseases located on varying degrees gravity. The specialist offers effective therapy based on data obtained from the survey.

Symptoms, when to go to a neurologist

There is no need to postpone a visit to the doctor if your health worsens due to: neurological disorder. The patient must seek medical care with problems like:

  • violation of the rest regime - insomnia;
  • memory impairment;
  • convulsions;
  • paralysis of limbs;
  • severe prolonged migraines;
  • blurry vision;
  • problems with coordination of movements;
  • loss of strength.

Taking anamnesis, listening to complaints, visual inspection undergo consultations, the duration of which depends on the symptoms and history of the disease.

Diagnosis of diseases

Diagnostic measures are divided into three categories, which include identifying visual signs of pathologies, functional abnormalities, and laboratory examination.

Diagnostics include such activities as:

  • X-ray of the skull and brain;
  • Dopplerography – monitoring the speed of blood flow in the vessels of the brain;
  • CT – the use of x-rays;
  • MRI – study of the state of parts of the cerebral cortex;
  • electroencephalography – research electrical activity brain;
  • Electroneuromyography – study of the performance of peripheral nerves.

You will need to take tests to calculate the content of hormones or pathological proteins in the blood, and if necessary, additional examinations are prescribed.

What diseases does it treat?

Adults need medical care in case of progressive diseases affecting the central nervous system. The most common ailments include: The doctor resorts to conservative method treatment, including the use of medications such as sedatives, antidepressants, muscle relaxants, vitamins, sleeping pills and the like.

A way to eliminate problems will be physiotherapy, which uses cold, heat, electric current, laser, ultraviolet, ultrasound, magnetic field.

When comparing two medical specialties, it is a mistake to assume that a nephrologist and a neurologist are one and the same. In the first case, the medical worker treats neuropathological diseases, and in the second, therapy is based on eliminating abnormalities that manifest themselves in disorders of the kidneys and urinary tract.

Nephrologist is a specialist involved in the diagnosis, treatment and prevention of kidney diseases.

The presence of kidney pathology can be assumed when symptoms appear such as pain in the lumbar region, a decrease in the amount of urine excreted, painful, frequent or, conversely, rare urination or absence of urine for a long time, changes in the color of urine, its transparency, the appearance of blood in the urine ( in some cases, these manifestations are noted visually, in some - when taking tests, which is additionally confirmed directly by the specialist studying their results), unmotivated increase in body temperature, increased blood pressure.

In some cases and at some stages, kidney disease can be asymptomatic, in which case timely diagnosis of kidney disease is somewhat complicated.

Kidney diseases are divided into acute and chronic.

What diseases does a nephrologist treat?

There are a number of diseases that a nephrologist treats, these are: urolithiasis; spicy and chronic glomerulonephritis, acute and chronic pyelonephritis, toxic lesions kidney (including drugs), renal amyloidosis, diabetic nephropathy, nephropathy of pregnancy, pyelitis, ascending urinary infections, kidney damage due to systemic diseases(systemic lupus erythematosus, scleroderma, rheumatoid arthritis, gouty nephritis, systemic vasculitis and vasculopathy), kidney diseases in cancer patients (paraneoplastic nephritis).

The insidiousness of some kidney diseases is that they often long time are asymptomatic, leading to acute or chronic renal failure, therefore, if any of the above symptoms appear, you should immediately consult a specialist doctor.

At the appointment, the nephrologist will definitely clarify the complaints, study the history of the development of the disease, and prescribe the necessary examination. According to indications, the examination plan may include laboratory tests urine and blood, ultrasound and x-ray examinations.

Who should see a nephrologist?

It is also recommended to consult a nephrologist:

Consultation with a nephrologist will help identify nephropathy in early stage and spend preventive treatment. Timely diagnosis and treatment will help protect against an unfavorable outcome of the disease.

If you have the symptoms or diseases listed in the article, you can make an appointment with a nephrologist at our hospital Alexandra Anatolyevna Kulikovskaya .

Alexandra Anatolyevna Kulikovskaya after graduating from the Russian National Research medical university them. N.I. Pirogova worked as a general practitioner in 2011. Then Anna Anatolyevna completed advanced training courses at the Moscow Regional Research Clinical Institute named after. M.F. Vladimirsky, at the Department of Transplantology. In 2015, she received a certificate as a nephrologist and began working in this specialty at city clinic No. 67 in Moscow. Since 2017, Anna Anatolyevna Kulikovskaya has been working at City Clinical Hospital No. 13. Anna Kulikovskaya is a member of the Dialysis Society Association (RDS), a member of the Russian Nephrological Society (RNO).

A neurologist (neuropathologist is an outdated name for a specialist) diagnoses and treats the nervous system and injuries to the nerves, brain and spinal cord. He also heals peripheral nerves, muscles and autonomic nervous system, as well as blood vessels associated with these structures. In addition, this doctor specializes in brain disorders such as Alzheimer's disease, Parkinson's disease, epilepsy, migraine, meningitis, Guillain Bar syndrome, myasthenia gravis, brain tumors and brain infections, children's cerebral palsy, dyspraxia and dementia.

Neurologist treats traumatic injuries brain and head injuries, stroke, coma, disorders cerebral circulation and hypoxia. Disorders nervous system, such as multiple sclerosis, amyotrophic lateral sclerosis (Charcot's disease), viral and bacterial encephalitis, infections of the brain and spinal cord, herpes zoster. Sleep disorders and problems with the sense of smell and taste. Neurologists conduct various tests, such as nerve conduction tests.

Neurology: the study and treatment of diseases of the nervous system. A neurologist helps patients who have complications from stroke, traumatic brain injury, epilepsy, Alzheimer's disease and other brain diseases.

Nephrologist

Nephrologists specialize in the diagnosis and treatment of kidney and urinary tract diseases. In case of deviations in diagnostic tests urine, patients are referred to a nephrologist. This specialist also monitors the condition of dialysis patients, sets dietary restrictions for kidney disease and dialysis patients, and consults with surgeons regarding kidney transplants and endoscopy of the renal system.

A nephrologist is a specialist who deals with all pathologies of the kidneys and those organs that are associated with them, i.e. diseases urinary system. The name of this branch of medicine comes from the Greek word nefros, which means “kidney.” A nephrologist diagnoses all available methods(they are fully represented in the capital), makes a diagnosis and prescribes treatment.

What do nephrologists do?

As everyone knows, in the body healthy person there are two kidneys located on the sides of the spine, in the lumbar region. This one is vital important organ removes from the body all unnecessary and harmful substances. If the kidney stops working, the body becomes polluted, and general toxicity begins.

Contact a nephrologist to get full diagnostics. Based on its results, you will be prescribed treatment, and in the future, prevention of relapses. Nephrologists study and treat pathologies:

Outpatient treatment is provided in Moscow chronic exacerbations, and sometimes acute diseases. Active drug prophylaxis. Sometimes phytoprophylaxis is enough. You will be prescribed a diet and appropriate individual treatment at:

  • metabolic disorders;
  • acute and chronic pyelonephritis, glomerulonephritis;
  • lupus, chronic interstitial nephritis;
  • kidney damage, including drugs;
  • vascular, urate, diabetic nephropathy;
  • urinary tract infections;
  • urolithiasis;
  • hypertension with kidney damage;
  • amyloidosis;
  • renal failure

What symptoms should you contact a nephrologist for?

You should contact Moscow nephrologists with any suspicion of emerging pathologies in order to begin treating the disease at an early stage, without leading to irreversible processes.

Symptoms of common nephrological diseases include:

  • anuria;
  • polyuria and oliguria;
  • protein in urine;
  • blood in urine;
  • arterial hypertension;
  • renal failure;
  • kidney inflammation;
  • renal colic;
  • infectious lesions of the urinary system.

Besides general analyzes urine, feces, ECG, nephrologists in Moscow can send the patient to additional examination using:

  • radiography of the kidneys, including radioisotope;
  • retrograde pyelography;
  • intravenous urography;
  • pneumoperitoneum;
  • chromocystoscopy;
  • scanning,
  • biopsies.

How to become a nephrologist?

In order to become a professional nephrologist, you need to graduate in Moscow from the Department of Nephrology and Hemodialysis at one of the major universities in the capital, such as:

  • MMA im. THEM. Sechenov;
  • North-Western State Medical University named after. I.I. Mechnikov;
  • MMSU;
  • FPDO MGMSU;
  • MONIKA them. M.F. Vladimirsky;
  • RMAPO;
  • National Medical and Surgical Center named after. N.I. Pirogov.

Famous Moscow specialists

Nephrology as a science began to develop at the very beginning of the last century. Its founder is considered to be the Englishman Bright. It was only in the 60s that it was identified as an independent clinical specialty, but kidneys in Rus' have been studied since ancient times. Already in the 9th century they stood out among traditional healers"stone cutters" who recognized and surgically removed stones from the bladder.

In 1654, under the Apothecary Order, which existed in Moscow since 1654, the first Russian medical school was founded, where they taught techniques for bladder catheterization, circumcision, castration, and so on. Already in 1765, the treatment of kidney diseases completely switched to professional doctors after the opening of the medical faculty at Moscow University. It was led successively by Hildebrandt, Paul, Inozemtsev, who paid special attention to nephrology.

Pirogov made a major contribution to science in Moscow. Much credit for the development of nephrology belongs to Zablotsky-Desyatovsky, Matyushenkov, Sinitsyn, kidney surgeons Bobrov, Sklifosovsky, Kosinsky, Kadyan, Fedorov and many others. Nephrologists and surgeons Frumkin, Solovov, Bogdanov, Epshtein, Fronshtein, Topchan, Lezhnev, Abrahamyan, Pytel and others worked in Moscow.