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Transplantation Online Course (TOC)

Brand new 6 month online course in renal transplantation -> the OLA TOC

  • a faculty of 10 experts
  • 31 brand new, up-to-date video lectures
  • more than 110 questions and cases studies
  • a focus on reflective practice and critical appraisal of literature
  • discussion and tutoring via OLA forum and Facebook microsite

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Case of the Month

  April 2015

A 35 old male admitted to the renal ward being unwell over the last two weeks. His doctor referred him as he found his kidney function deteriorating with high Blood Pressure.He has no relevant past medical history apart from occasional use of ibuprofen for occasional headache and recurrent joint pain.

On Examination : BP 230/110 mmHg, pulse 85 bpm , regular. There was mild periankle oedema, bilateral fine basal crackles on chest bases , with ejection systolic murmur over the second right intercostal space. Skin of hand was tight with trophic changes in his fingers. Echocardiography showed reduced LV systolic function EF = 45 %

Laboratory Results:

S. Creatine 320 µmol/l
S. K 3.9 mmol/l
S. Na 139 mmol/l
S. Urate 490 mmol/l

Urine dipstick is positive for blood and protein
UPCR 139 mg/mmol

HB 86 g/l
Platlets 90 x109 cells/l

 

What is the next test you will request to reach the diagnosis?

Read: 239 times Answered: 71 times Top score: 100%

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