Renal replacement therapy

Question 1

Contra-indications for renal transplant

Answer 1

Active infection, Malignancy, Heart disease, Co-morbidities

Question 2

Pre-assessment actions for a renal transplant

Answer 2

ABO typing, HLA typing, TB status

Question 3

Complications of renal transplant

Answer 3

Acute rejection, Chronic rejection, Infection, Malignancy, Vascular disease, Hypertension

Question 4

Investigations and findings for acute rejection of a renal transplant

Answer 4

Bloods: U+Es - raised Cr
Biopsy: Immune cell infiltration

Question 5

Management of acute rejection of a renal transplant

Answer 5

IV methylprednisolone

Question 6

Investigations and findings for chronic rejection of a renal transplant

Answer 6

Bloods: U+Es - Raised Cr

Biopsy - Fibrosis and vascular changes

Question 7

Symptom of chronic rejection of a renal transplant

Answer 7

Proteinuria

Question 8

Complications of dialysis

Answer 8

Ischaemic heart disease, Anaemia, Bleeding, Renal bone disease, Infections, Amylodosis, Malignancy