What is a typical initial step when a patient sees a nephrologist?

The typical initial step when a patient sees a nephrologist is to perform diagnostic tests. This approach is important because nephrologists primarily focus on kidney function and associated conditions. Before making any treatment decisions, it is crucial to gather detailed information regarding the patient's kidney health, which often involves laboratory tests such as blood tests to assess renal function, urine tests to evaluate for protein or blood, and imaging studies if necessary.

This initial assessment helps the nephrologist understand the patient's specific situation, including the severity and type of kidney disease, which guides them in formulating an effective treatment plan. Diagnostic tests lay the foundation for any subsequent management, whether it be lifestyle changes, medication adjustments, or potential referrals for other specialties.

In contrast, prescribing medications would typically follow after the necessary evaluations confirm a diagnosis. Conducting a surgical procedure is not within the standard scope of practice during an initial consultation with a nephrologist unless it is a well-defined emergency, which is uncommon. Recommending physical therapy is not a standard initial action for nephrologists since their primary concern is with the kidneys and not musculoskeletal issues.