Conditions treated

Chronic Kidney disease is caused for chronic medical conditions such as diabetes mellitus and hypertension, as well as innate kidney disease. There are 5 stages of chronic kidney disease in general.

Chronic kidney disease stage I and II are earlier forms of chronic kidney disease 

Chronic Kidney disease stage III is moderate kidney disease 

Chronic Kidney disease stage IV is advanced chronic kidney disease often described as pre-ESRD 

Chronic kidney disease Stage V is most advanced chronic kidney disease 

Dialysis is a procedure where a machine is used to clean blood of toxins that accumulate due to kidney failure. Purpose of dialysis is to clean blood of toxin called urea that is measured by lab, balance potassium which is often high in dialysis patients, balance acid-base levels and fluid balance. When kidneys don't work like they should, dialysis does one of the most important function of the kidneys which is to maintain balance of fluid, electrolyte and acid base status 

Procedures

Hemodialysis In-Center 

Home Hemodialysis 

Peritoneal Dialysis 

Dr. Katneni is affiliated with Fresenius Medical Center and Da vita and works with a team of professionals to provide dialysis care for her patients

Dr. Katneni is trained in one of the largest kidney transplant centers and accepts patients for post kidney transplant care and refers patients with advanced chronic kidney disease and end stage renal disease patients to transplant referral centers such as UCI/UCLA/USC/UC San Diego for kidney transplant evaluation and work up 

Chronic hyponatremia 

Hypokalemia 

Hypomagnesemia 

Hypocalcemia 

Hypercalcemia 

Hyperphosphatemia 

Dehydration 

While nephrologists don't remove kidney stones like urologists (our surgical colleagues), we analyze urine chemistry to determine cause of kidney stones and help prevent recurrent kidney stones based on the type of urine chemistry

Hypertension or high blood pressure causes multiple medical problems short term and long term such as cardiac disease, stroke and worsening renal function.

Dr. Katneni is trained in evaluating and managing both primary (essential) hypertension which is the commonest type of hypertension and to evaluate and treat rarer secondary hypertension (caused by some reason such as adrenal gland or hormonal reasons)

Edema or swelling is seen with heart disease (heart failure) and in kidney disease (nephrotic syndrome and in advanced kidney disease)

Where is edema (swelling) seen?

Edema can be seen in any part of the body, most commonly in ankles, legs, and if severe enough entire body.

Kidney and heart disease often coexist and medication management of management of edema is a fine balance between the kidneys and the heart 

Other causes of edema: 

Cirrhosis liver 

Lymphedema which is typically seen in the legs, is long term edema, is associated with skin changes such as skin thickening and changes in skin color. 

Microscopic hematuria or small amounts of blood detected on lab urine specimen could be caused by several reasons from benign causes such as menstruation in females, to  kidney stones, genetic form of kidney disease or other innate types of kidney diseases.

Microscopic hematuria accompanied by proteinuria is often seen in innate type of kidney diseases called glomerulonephritis (there are several types of this class of kidney diseases)

Protein in the urine or proteinuria is typically seen in lab urine specimen. However, large amounts of protein in the urine can cause frothy urine or typically described as bubbles in the urine 

By in patient referral service only referred by primary care physician or hospitalist on call 

Acute kidney failure 

Hyponatremia 

Cardiorenal syndrome 

Difficult to control congestive heart failure with kidney failure 

Hypertensive urgency, emergency 

Uncontrolled hypertension 

Severe Hyperkalemia 

Severe hyponatremia 

Hypernatremia 

Severe hypercalcemia 

Severe metabolic acidosis 

Acid base and electrolyte disorders

Procedures

Hemodialysis 

Continuous Renal Replacement Therapy 

Plasma exchange