Presentations
- Abdominal masses
- Abnormal urine output
- Ascites
- Biochemical abnormalities
- Haematuria
- Hypertension
- Lethargy
- Oedema
- Poor feeding
- Proteinuria
- Respiratory distress
- Sepsis
- Structural abnormalities, such as:
- genital abnormalities
- Potter syndrome
- Weight gain
- Weight loss
Conditions
- Congenital kidney disorders, such as:
- anatomical abnormalities
- hydronephrosis
- Other causes of poor urine output, such as:
- kidney failure:
- shock
- syndrome of inappropriate antidiuretic hormone ADH release (SIADH)
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when
developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate
preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and
management
Presentations
- Growth faltering
- Respiratory failure
Conditions
- Kidney aplasia / hypoplasia
- Other congenital kidney disorders
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when
developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate
preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and
management
- Complex fluid and electrolyte problems, including those in very preterm neonates and those with
surgical problems
- Effects of kidney impairment on drug metabolism
- Indications for urological intervention
- Investigation of diagnosed kidney disorders, both antenatally and postnatally
- Kidney development and physiological changes after birth in preterm and term neonates
- Pathophysiology of congenital kidney disorders and kidney failure
- Recognition and institution of treatment for acute and chronic kidney failure, including indications
for dialysis
Investigations
- Indications and interpretation of kidney vessel doppler studies
- Kidney function assessment, such as:
- biochemical
- blood
- imaging, such as:
- urine biochemical
- Kidney tract imaging, such as:
- Urological investigations, such as:
- bladder ultrasounds
- micturating cystourethrograms
Procedures
- Bedside bladder ultrasound
- Urethral catheterisation and suprapubic aspiration
- Fluid and electrolyte management in at-risk neonates
