Renal

Question 1

What is involved in physical examination in renal transplant?

Answer 1

Graft tenderness or bruits
Old vascular sites (AVF, central line sites) - ?future difficulty with fistula siting
SCC and BCC
Gouty tophi
Tremor - CNIs
Cushing's or hirsutism
Mouth - Candida, gum hypertrophy
Lungs - infection

Causes

• BSL pinpricks
• HTN
• Polycystic kidneys
• Scleroderma

Temperature chart

Question 2

What are the causes of a palpable kidney?

Answer 2

PCKD
RCC
Renal cyst
Hydronephrosis
Hypertrophy of solitary functioning kidney

Question 3

What is involved in the polycystic kidney disease exam?

Answer 3

• Hepatomegaly, pancreatic cysts
• Abdominal hernias
• Mitral valve prolapse, aortic regurgitation
• HTN
• CN III palsy (pComm aneurysm)