Take a look at some initial tests below.
The radiologist tells you that though the kidney transplant appears normal, there is thickening of the urothelium.
Your patient receives 2 liters of isotonic fluid, and the creatinine has now risen to 2.5 mg/dL. Your team decides to perform a biopsy of the transplant kidney.
Before we take a look at the biopsy, what’s moved to the top of your differential diagnosis? Choose 3 before moving on!
Pre-renal acute kidney injury
Acute interstitial nephritis (AIN)
Acute cellular rejection
Antibody mediated rejection
Renal cell carcinoma
Urinary tract infection
Before the biopsy, your urology colleagues perform a cystoscopy and tell you that there is no evidence of any masses.
Click here to move on!
Case 12 Index
Case 12 Introduction
Case 12 Physical Exam