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RCPE Symposium Edinburgh International live web streaming Renal and Transplant Medicine Date: Thursday, 10 October 2013 (Actual Venue: Queen Mother Conference Centre, The Royal College of Physicians of Edinburgh, 9 Queen Street, EDINBURGH EH2 1JQ) VENUE: LECTURE HALL UiTM SELAYANG CAMPUS, FACULTY OF MEDICINE JLN PRIMA SELAYANG 7 SELAYANG 68100 BATU CAVES SELANGOR Overview Renal and Transplant Medicine: a bright future but with many challenges The identification of Chronic Kidney Disease, a growing world-wide clinical problem, is critical with an increasing impact in primary care. Progression of kidney disease is associated with many complications leading to increased morbidity and mortality in patients. Most patients with kidney disease die of cardiovascular causes. The management of CKD and its complications is rapidly evolving. The symposium will examine diagnostic challenges in renal medicine and the emerging therapies that may reduce mortality and morbidity; and finally renal transplantation which provides for improved quantity and quality of life. Upon completion the participant will be able to :recognise patients with Chronic Kidney Disease; understand the importance of proteinuria and how to manage cardiovascular risk; discuss the management of anaemia; and recognise the challenges in managing a transplant patient. The programme will be of particular interest to trainees, both renal and general, primary care physicians and practising nephrologists as well as general physicians, in obtaining an overview of issues in renal and transplant medicine to tackle patients who may present with various pathologies. Professor Sunil Bhandari Chair, Organising Committee Thursday 10 October 2013 16.00 Registration 16.25 Welcome and Introductory Remarks by Dr Mike Jones, Vice-President, Royal College of Physicians of Edinburgh Session 1 - Chronic Kidney Disease or Cardio-Kidney Disease Chair: Dr Stuart Rodger, Consultant Renal Physician, Western Infirmary, Glasgow 16.30 CKD classification revisited Professor Meguid El Nahas, Professor of Nephrology, Sheffield Kidney Institute *how common is CKD *population differences * future prospects for renal disease 17.00 How to manage vascular risk in CKD patients in the context of primary care Dr David Wheeler, Reader in Nephrology and Honorary Consultant Nephrologist; UCL Medical School, President of the Renal Association *the big trials * how vascular disease affects CKD patients * calcification 17.30 Who gets diabetic nephropathy and why? Dr Bryan Conway, MRC Clinican Scientist, University of Edinburgh *mechanisms *cardio-diabetes * nephropathy * useful interventions 18.00 Break Session 2 - Blood is thicker than water Chair: Dr Caroline Whitworth, Consultant Renal Physician, Royal Infirmary of Edinburgh 18.30 Urinalysis - past, present and future Dr Jonathan Barratt, Consultant Nephrologist, Leicester General Hospital *the use of urinalysis * what is proteinuria and why is it important? * factors affecting urine colour 19.00 THE STANLEY DAVIDSON LECTURE Chair: Dr Mike Jones, Vice-President, Royal College of Physicians of Edinburgh New therapies for renal anaemia coming into focus - a bright future? Professor Iain Macdougall, Professor of Clinical Nephrology, King's College Hospital, London 19.45 Dinner ( provided ) Session 3 - Difficult clinical scenarios in nephrology (interactive session) Chair: Dr Robert Peel, Consultant Renal Physician, Raigmore Hospital, Inverness 20.30 Kidney disease in HIV Dr Rachel Hilton, Consultant Nephrologist, Guy's & St Thomas' Hospital, London *what to look for * medications causing renal disease * complications 21.00 Disorders of water metabolism for the general physician Dr Chris Laing, Clinical Lead Acute Kidney Injury/Renal Patients, UCL Centre for Nephrology, Royal Free Hospital, London *how to investigate hyponatraemia (is urinary Na useful?) * Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) *treatment options 21.40 Challenges in transition from paediatric to adult nephrology care Professor Neil Turner, Professor Nephrology, University of Edinburgh & Royal Infirmary of Edinburgh *compliance *clinical setting *adolescence and the challenges in this group 22.05 Symposium feedback Session 4 - New horizons in transplant medicine Chair: Professor Neil Sheerin, Professor of Nephrology, Freeman Hospital & Newcastle University 22.20 Expanding the donor pool - have we succeeded? Professor J Andrew Bradley, Professor of Transplantation, Addenbrooke's Hospital, Cambridge *non-heart beating donors *live donors *altruistic donors * ABO & human leukocyte antigen (HLA) incompatible pairings 22.45 New transplant regimes after calcineurin inhibitors - have we gone too far? Professor Anthony Warrens, Dean for Education, Barts and the London School of Medicine & Dentistry; Professor of Renal and Transplantation Medicine *campath * belatacept *rituximab 23.15 Viral infections in transplantation Dr Nicholas Torpey, Consultant Nephrologist, Addenbrooke's Hospital, Cambridge *cytomegalovirus (CMV) *BK virus * post-transplant lymphoproliferative disorder (PLTD) 23.45 Close