SAQ3 Flashcards
A 42 year old man presents to A&E with the worst headache he has ever had. He is sent for a MRI head and it reveals he has a subarchanoid haemorrhage.
Give 2 causes of this.
Berry aneurysm rupture
Cocaine use
A 42 year old man presents to A&E with the worst headache he has ever had. He is sent for a MRI head and it reveals he has a subarchanoid haemorrhage.
The patient survives and upon further history, he has been having some flank pain and episodes of blood in his urine, which he has not been to the doctor for.
What gene mutation is responsible for his symptoms?
PKD1 or PKD2
A 42 year old man presents to A&E with the worst headache he has ever had. He is sent for a MRI head and it reveals he has a subarchanoid haemorrhage
The patient is diagnosed with Adult Polycystic Kidney disease and is put on the transplant waiting list.
What are the 4 types of graft that are available for transplantation?
Non-living: cadaveric
No heart beating donor
Live- related
Live- unrelated
A 42 year old man presents to A&E with the worst headache he has ever had. He is sent for a MRI head and it reveals he has a subarchanoid haemorrhage
The patient is diagnosed with Adult Polycystic Kidney disease and is put on the transplant waiting list.
Aside from rejection, what are some complications associated with renal transplants themselves?
Early: urinary leak, haemorrhage, impaired graft function
Late: lymphcoele, ureteric stenosis, renal artery thrombosis
A 42 year old man presents to A&E with the worst headache he has ever had. He is sent for a MRI head and it reveals he has a subarchanoid haemorrhage
The patient is diagnosed with Adult Polycystic Kidney disease and is put on the transplant waiting list.
The patient has the transplant, 2 years post transplant, he presents with painless white patches in his mouth. They are easily removable with a red base. He otherwise feels well.
What would you prescribe for this?
Oral Fluconazole
