Pediatric Nephrology
Comprehensive Kidney Care for Infants, Children, and Adolescents.
From congenital anomalies to transplant follow-up—advanced diagnostics, dialysis, and family-centered management.
The Pediatric Nephrology Service offers complete renal care—from antenatal counseling for CAKUT to chronic kidney disease (CKD) management, dialysis, and transplantation.
1
board-certified pediatric nephrologist
2
transplant surgeons
90%
glomerular-disease remission within 12 months using steroid-sparing protocols
Facilities
for pediatric acute and chronic hemodialysis
Common Conditions & Subspecialty Clinics.
- Hematuria
- Proteinuria
- Edema
- Urinary tract infections (UTIs)
- Pediatric hypertension
- CKD stages 1–5 from any cause
- Growth monitoring and nutritional support
- Anemia and bone disease management
- Minimal-change disease
- Focal segmental glomerulosclerosis (FSGS)
- IgA nephropathy
- Lupus nephritis
- ANCA vasculitis
- Hemolytic uremic syndrome
- Acute kidney injury (AKI) needing dialysis
- End-stage renal disease (ESRD) management
- Home peritoneal dialysis training and follow-up
- Evaluation for living or deceased donor transplantation
- Post-transplant immunosuppression and complication monitoring
- Congenital anomalies of the kidney and urinary tract (CAKUT)
- Posterior urethral valves
- Vesicoureteral reflux
- Polycystic kidney disease and other genetic disorders
- Secondary and difficult-to-control hypertension
- Hyperkalemia, hyponatremia
- Renal tubular acidosis and inherited tubular disorders
- Recurrent pediatric kidney stones
- Metabolic evaluation and dietary management
- Lithotripsy coordination and surgical referrals
Procedures & Treatments.
-
Lithotripsy referral and metabolic stone prevention with citrate supplementation
-
Kidney Transplant – Pre-emptive transplant evaluation
-
Peritoneal Dialysis (PD) – Automated cycler training, catheter insertion with surgery
-
Hemodialysis (HD) – Child-sized dialyzers, high-flux membranes, hemodiafiltration
-
Phosphate binders, calcitriol, and calcimimetics for CKD-MBD
-
Erythropoiesis-stimulating agents and iron for CKD anemia
-
Growth-hormone therapy for CKD-related short stature
-
ACE/ARB and mineralocorticoid antagonists for proteinuria and hypertension
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Steroid-sparing immunosuppression (mycophenolate, tacrolimus, rituximab) for glomerular disease
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Renal ultrasound & Doppler, DMSA and MAG3 scans
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Referral for Gastrostomy in CKD children with poor weight gain – pediatric gastro team
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Kidney biopsy under ultrasound guidance with rapid IF/EM processing
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Genetic testing panels: NPHS1/2, COL4A3-5, PKD1/2, tubulopathies, renal calculi
-
Ambulatory blood-pressure monitoring (ABPM)
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Kidney MRI/CT urography with low-dose protocols
-
24-hour urine metabolic stone panel
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Urine microscopy with phase-contrast for dysmorphic RBCs
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Serum & urine electrolytes, creatinine, cystatin C, microalbumin
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Transition clinic for handover to adult nephrology at 16–18 years
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Psychology & social work for adherence and family coping
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School liaison and home-care nursing for PD and hypertension monitoring
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Renal dietitian for phosphorus, potassium, and fluid management
Care Pathway & Coordination.
1
Referral & Triage
Urgent AKI/<30 eGFR seen within 24 h; routine within 7 days.
2
Comprehensive Assessment
Labs, imaging, genetics, diet review; BP & growth charted.
3
Kidney Board Review
Personalized plan: medical, dialysis, or transplant pathway.
4
Treatment Initiation
Immunosuppression, BP control, dialysis catheter insertion or transplant listing.
5
Home Management & Monitoring
Tele-BP uploads, PD digistat, app-based symptom tracker.
6
Long-Term Follow-up
Monthly to quarterly visits; annual GFR and imaging; transition to adult care.
Technology & Facilities.
-
Child-Friendly Dialysis Unit
-
Automated Peritoneal Dialysis Cyclers with remote monitoring
-
Low-Dose Dual-Energy CT for stone composition and anatomy
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Point-of-Care Creatinine & Electrolytes in clinic
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Ultrasound-Guided Biopsy Suite with child-life support
