Clinical Nephrology

Cirruculum for Housestaff on the Nephrology Rotation

1. Chronic Kidney Disease (How the kidney works, What happens when the kidney fails, Incidence and who gets kidney disease, Basic concepts of detection and management, Stage I, Stage II, Stage III, Stage IV, Stage V)
2. Vasculitis ( ANCA associated, Glomerular basement membrane, Immune complex)
3. End Stage Kidney Disease (Morbidities, Complications, Modes - Hemodialysis, Peritoneal Dialysis, Long and Daily dialysis, Kidney Transplantation)
4. The Kidney in Pregnancy (Hypertension, Primary Kidney Disease, Toxemia, HELLP)
5. Vascular Calcification ( Physiology of skeletonization, Parathyroid disease, Vitamin D, Osteoporosis, Calcific uremic arteriolopathy, Therapy in non dialysis patients, Therapy in dialysis patients)
6. Anemia in Kidney Disease (Pathophysiology of erythropoiesis, Anemia in CKD, Anemia in ESRD)
7. Fluid and Electrolytes and Hypertension (Fluids, edema, heart failure, hypertension, disorders of water balance, hypo hypernatremia, hypo hyperkalemia, Chloride disorders and acidosis)
8. Vascular Access (The catheter, The Graft, The fistula, saving veins, vessel mapping, creating the fistula, management, cannulation, surveillance, repair and salvage)
9. Nutrition in Kidney Disease (Malnutrition and atherosclerosis and inflammation, amino acids, fats, carbohydrates, vitamins, ubiquitin, calculations, phosphorus management, potassium management, salt management)
10. Adequacy and Kidney Therapy (Equilibrium kinetics, concepts of dialysis)
11. Glomerulonephritis (Primary kidney disease - minimal change, membranoproliferative, IgA, membranous, mesangioproliferative)
12. Interstitial Nephritis (analgesics, myeloma, other)
13. Hereditary Kidney Diseases (Fabry, Alport, PCKD, Lowes)
14. Systemic Diseases (Diabetes, lupus, hepatitis, other)
15. Basic Principles of Nephrology (Embryology, Anatomy, Physiology)
    
    

by Stephen Z. Fadem, M.D., FACP, FASN
Clinical Professor of Medicine,
Baylor College of Medicine,
Houston, Texas