The Nephrology Department specifically addresses the diagnostic classification of kidney disease; in particular the team studies acute and chronic glomerular nephropathies, primitive glomerulonephritis, those secondary to systemic diseases such as lupus eritematodes, scleroderma, amyloidosis, cryoglobulinemia, vasculitis, diabetes, and gout. The Department specialists treat over 3,000 patients annually.
Other nephropathies such as hereditary, tubule-interstitial, and vascular (nephroangiosclerosis) nephropathies are also diagnosed and treated. Needle biopsies are performed with transcutaneous renal histological study with optical microscopy and immunofluorescence.
The activity also includes the study and treatment of primitive and secondary hypertension with the possibility of Halter monitoring for continuous monitoring of blood pressure over 24 hours. The metabolic study of patients with relapsing lithiasis, usually follow the distribution of the calculation with shock waves, in collaboration with the Unit of Urology.
At the Clinic of Nephrology and the Day Hospital the clinical follow-up of known nephropathies is performed as well as the preliminary classification of new patients with kidney disease, hypertension and lithiasis are ascertained. The unit deals with diseases of medical interest, especially complex situations and multiple organ failures.
Steroid and immunosuppressive treatments for patients with diagnosed primary and secondary glomerulonephritis are administered at the Day Hospital. Furthermore, doctors from the Unit of Nephrology administer hemodialysis in patients admitted to intensive care or general cardiac surgery with acute reversible injury of renal function. This treatment is administered intraoperatively until the functional recovery of the affected kidney ischemia.
The latest machinery enables an efficient and extremely safe dialysis. The equipment includes biosensors, continuous monitoring of the plasma of the patient and real time monitoring of the percentage of water present in the blood. Moreover, unlike conventional machines, these are able to modulate their action according to the actual clinical picture of the patient.
In addition to the equipment in the section of dialysis, the Institute has a portable artificial kidney for patients with kidney failure who are in intensive care and coronary care unit. The unit also has a psychological support system for patients on dialysis, which offers nutritional advice on how to set a more suitable diet that is high in proteins.