Diagnosis and conservative treatment of nephrosclerosis in Nuremberg Hospital
Nuremberg Hospital
Nuremberg, Germany
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Program id #
350505
Prof. Dr. med. Roland Veelken
Department of Nephrology
Specialized in: nephrology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical blood test
- inflammation markers (CRP, ESR)
- blood coagulation analysis (aPTT, PT, INR)
- ultrasound of the urogenital system
- CT/MRI of the abdomen and pelvic organs
- renal biopsy with histological study
(if indicated clinically, additional cost is 3500€) - consultation of related specialists
- symptomatic specific treatment
- the cost of essential medicines and materials
- nursing services
- control examinations
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
- Pelvic ultrasound (if available)
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About the department
The Department of Nephrology at the Nuremberg Hospital offers all the possibilities of modern medicine to patients with acute and chronic kidney diseases. The department's team of physicians also specializes in the care of patients with pathological kidney lesions caused by other diseases, such as arterial hypertension and diabetes mellitus. In addition, the department's specialists are responsible for caring for patients before and after kidney transplant surgery. In addition to conservative treatment, the department's doctors successfully perform dialysis, that is, renal replacement therapy. The department employs a highly qualified team of 29 physicians and 90 nursing staff members. The medical facility admits about 3,500 inpatients every year, and it regularly provides medical care to over 320 outpatients. The medical center has excellent infrastructure and an advanced technical base, which, combined with the high professionalism of doctors, ensures top-class medical care for every patient. The department is headed by Prof. Dr. med. Roland Veelken.
One of the most important focuses of the department's specialists is the treatment of chronic kidney failure. The pathology is characterized by a gradual deterioration of kidney function over several months or years due to progressive nephron loss. The insidiousness of the disease is that its early stages are virtually asymptomatic, causing only increased fatigue and appetite loss. As the disease progresses, a patient develops more severe symptoms, including nausea and vomiting, generalized edema, itching, dry skin, muscle cramps, high blood pressure, and the presence of blood in the urine. The diagnostic protocol for suspected chronic kidney failure includes a complex of laboratory tests and renal ultrasound. It is impossible to cure chronic kidney failure, but appropriately selected therapy can slow down or even stop its progression. The course of treatment is also aimed at alleviating symptoms and preventing complications. In many cases, the treatment tactics for chronic kidney failure depend on the cause that provoked its development. The patient takes drugs that are prescribed individually. It is also important to monitor blood pressure and limit the intake of potassium-rich foods, salt, and protein. Patients with diabetes mellitus need to control their blood glucose levels. Should the above-mentioned therapeutic measures fail and severe deterioration of kidney function occur, the department's doctors will resort to hemodialysis. During this procedure, the patient's circulatory system is connected to a special device that filters toxins and returns purified blood to the body.
The department regularly admits patients with glomerulonephritis, an inflammation of the glomeruli, which are responsible for blood filtration. The pathology most often develops due to a viral infection or pneumonia. The cause of glomerulonephritis can also be an autoimmune disease. If left untreated, glomerulonephritis may lead to irreversible consequences, including the development of chronic kidney failure, chronic heart failure, pericarditis, peritonitis, etc. During the diagnostic process, a patient with suspected glomerulonephritis is prescribed urine tests, a blood count, and a kidney biopsy. The doctors at the medical facility also carry out renal ultrasound, a CT scan of the retroperitoneal space, and kidney scintigraphy to clarify the diagnosis. The treatment of this pathology is quite serious and prolonged. Patients mostly require a hospital stay, an intensive course of drug therapy, and a diet with a restriction of animal proteins, fats, and salt. The effectiveness of treatment is controlled based on the results of urine and blood tests.
The department's specialists have exceptional professional skills in providing medical care to patients with diabetic nephropathy, which is a kidney lesion caused by diabetes mellitus. Diabetic nephropathy is a complication of diabetes mellitus accompanied by impaired nephron function, replacement of renal parenchyma with connective tissue, and a gradual deterioration of kidney function. General and biochemical blood counts, urine tests, and kidney ultrasounds are required to detect this pathology. In some cases, a kidney biopsy may also be performed. In the course of treatment, the department's doctors strive to slow down the progression of pathology and avoid the development of complications. The therapeutic process is based on drug therapy. Depending on the clinical case, nephrologists prescribe drugs from various groups, including antihypertensive agents, glucose-lowering drugs, cholesterol-lowering drugs, medications to reduce blood creatinine and cholesterol levels, and other medicines. Patients with diabetic nephropathy are also recommended to follow a special diet. In advanced stages of the disease, hemodialysis can normalize the patient's condition.
The department's main clinical focuses include:
- Diagnostics and treatment of acute and chronic kidney failure
- Diagnostics and treatment of inflammatory kidney diseases: nephritis and glomerulonephritis
- Diagnostics and treatment of polycystic kidney disease
- Diagnostics and treatment of diabetic nephropathy
- Diagnostics and treatment of pathological kidney lesions caused by arterial hypertension
- Diagnostics and treatment of other kidney diseases
The department's therapeutic range of services includes:
- Drug therapy
- Patient care before and after kidney transplant surgery
- Intensive care for acute kidney failure and multiple organ dysfunction syndrome
- Renal replacement therapy
- Hemodialysis
- Chronic hemodialysis
- Hemodiafiltration
- Plasma separation and immunoadsorption for immune-mediated renal disease
- Lipid apheresis for patients with familial hypercholesterolemia
- Hemoperfusion
- Peritoneal dialysis
- Continuous ambulatory peritoneal dialysis
- Continuous cyclic peritoneal dialysis
- Intermittent peritoneal dialysis
- Hemodialysis
- Other medical services
Curriculum vitae
Higher Education and Professional Career
- 1978 - 1985 Medical studies at Heidelberg University and Indiana University School of Medicine, USA.
- 1982 - 1985 Thesis defense at the Institute of Pharmacology at the University of Heidelberg.
- 1985 - 1987 Research Fellow at the Institute of Pharmacology at University of Heidelberg.
- 1987 - 1989 Educational Grant from the German Research Foundation, Heart Center, College of Medicine at University of Iowa, Iowa City, Iowa, USA.
- 1989 Assistant Physician in the Department of Nephrology at the University Hospital Erlangen; Association of the Institute of Physiology I at the University of Erlangen-Nuremberg.
- 1994 Habilitation in Physiology.
- 1997 Board certification in Internal Medicine, Senior Physician in the Department of Nephrology at the University Hospital Erlangen.
- 1997 Habilitation in Internal Medicine.
- 2000 Board certification in Nephrology, certified European Specialist in Hypertensiology.
- 2001 Professorship in Internal Medicine.
- 2009 Deputy Head of the Department of Nephrology at the Nuremberg Hospital.
- 2017 Head Physician of the Department of Nephrology at the Nuremberg Hospital.
Review Activities
- Kidney International.
- Hypertension.
- Journal of Hypertension.
- American Journal of Physiology.
- Expert activities within the scholarship programs of the German Academic Exchange Service (DAAD).
Memberships in Professional Societies
- German Society of Internal Medicine.
- German Society of Nephrology.
- German Hypertension League.
- German Physiological Society.
- American Physiological Society.
- Association of Managing Nephrologists.
Photo of the doctor: (c) Klinikum Nürnberg
About hospital
According to the reputable Focus magazine, the Nuremberg Hospital ranks among the top German medical facilities!
The hospital is one of the largest, highly specialized medical centers in Europe and positions itself as the maximum care hospital. The healthcare facility is an academic hospital of the Paracelsus Medical University in Nuremberg. It houses 42 departments, institutes, and highly specialized centers focusing on various medical fields. All the hospital's employees work hand in hand for the benefit of their patients. The specialists strive to provide top-class medical care for every patient. Moreover, the medical team always shows a humane attitude and understanding towards the patient's life situation, making every effort to support them during the entire therapeutic process.
The total number of beds in the hospital is 2,233. The medical team consists of more than 8,400 employees, including many world-famous doctors and professors who had their clinical training at the best medical facilities in Germany, other European countries, and the USA. The hospital admits more than 100,000 inpatients and more than 170,000 outpatients annually. The number of patients who come to the hospital steadily increases every year, which is the best confirmation of its high standards and outstanding treatment results.
The cornerstone of successful clinical practice is state-of-the-art technical infrastructure. The hospital offers its patients innovative technologies such as the Da Vinci surgical system, devices for stereotactic procedures, intraoperative radiation therapy, angiography, PET CT devices, high-intensity focused ultrasound, 64-slice CT scanners, and other advanced medical devices. The combination of cutting-edge technical facilities and the high competence of the physicians allows for the provision of effective treatment even in the most complex cases.
The Nuremberg Hospital is undoubtedly one of Germany's leading medical facilities, where patients benefit from modern infrastructure, precise diagnostics, effective treatment, and responsive care.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients at the Nuremberg Hospital live in comfortable single and double rooms. Each patient room is equipped with an ensuite bathroom with a shower and a toilet. Standard rooms include an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, a table and chairs for receiving visitors, a TV, and a radio. The hospital also offers Wi-Fi.
If desired, patients can live in enhanced-comfort rooms. Such patient rooms are more spacious, and their furnishings correspond to the level of an upscale hotel.
Meals and Menus
The patients at the hospital are offered tasty and balanced meals three times a day: breakfast, lunch, and dinner. The patients have a daily choice of three dishes for lunch and dinner, while breakfast is served as a buffet.
If, for some reason, you do not eat all foods, you will be offered an individual menu. Please inform the medical staff about your food preferences prior to treatment.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
