General Internal Medicine

Transplant nephrology

Questions discussed in this category

How would you manage persistent Norovirus diarrheal infections in a kidney transplant patient that are not responding to a decrease in the patient’s maintenance immunosuppressive regimen?

3 Answers available

What is your approach for patients with a history of nephrolithiasis who are being evaluated for living kidney donation?

1 Answer available

What is your approach to management of tremors in a kidney transplant recipient who is taking a CNI for immunosuppression?

1 Answer available

How do you manage tacrolimus-related psychosis?

2 Answers available

How do you counsel patients who experience diarrhea from mycophenolate mofetil (Cellcept)?

Do you generally recommend anti-diarrheals, dietary modifications, or consider this an unacceptable side effect and move to other therapies?

2 Answers available

How would you approach post-operative VTE prophylaxis for renal transplant in patients with a prior history of provoked VTE?

Are there specific guidelines for managing this patient population?

1 Answer available

Would you transition from IV to oral antibiotics in a solid organ transplant recipient with uncomplicated gram-negative bacteremia?

Nussbaum et al., PMID 38195100

1 Answer available

What considerations do you take when evaluating a patient for kidney transplantation who has a history of kidney disease and an abdominal aortic aneurysm treated with past stenting?

1 Answer available

In which patients awaiting a kidney transplant do you evaluate for primary hyperoxaluria given the high risk of allograft dysfunction following transplantation?

1 Answer available

What is your strategy for managing immunosuppression in patients with a kidney transplant who develop metastatic cancer?

3 Answers available

Do you recommend noninvasive testing or coronary angiography as the initial test for pre-kidney transplant evaluation of an asymptomatic patient older than 50 years of age with ESKD secondary to diabetic nephropathy and no known history of CAD?

1 Answer available

Would you recommend avoiding PICC line placement in a kidney transplant patient with an estimated GFR of more than 45 ml/min/1.73m2 and no functional AV access?

2 Answers available

How long would you continue prednisone in an ESKD patient with a failed kidney transplant who develops mild graft pain when steroids are tapered?

1 Answer available

What changes to immunosuppressant medications do you adopt for kidney transplant patients who contract COVID-19?

1 Answer available

Would you consider clearing a patient with essential thrombocytosis for a kidney donation?

1 Answer available

Papers discussed in this category

Transplantation reviews (Orlando, Fla.), 2021 Jun 24

Management of the kidney transplant patient with Cancer: Report from a Multidisciplinary Consensus Conference.

Therapeutic drug monitoring, 2022 Jun 01

Drug-Drug Interactions Between Mycophenolic Acid and Proton Pump Inhibitors: A Systematic Review and Meta-Analysis.

J Acad Consult Liaison Psychiatry, 2023 Nov-Dec

Delayed-Onset Psychosis Secondary to Tacrolimus Neurotoxicity After Lung Transplant: A Case Report and Systematic Review.

Case reports in nephrology and dialysis, 2021 Aug 04

When Paranoia Comes with the Treatment: Psychosis Associated with Tacrolimus Use.

The primary care companion for CNS disorders, 2022 Dec 08

Psychosis Associated With Tacrolimus at Therapeutic Serum Levels.

Transplantation direct, 2023 Jul 12

The Association of Tacrolimus Formulation on Cerebral Blood Flow and Cognitive Function.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024 Jul 19

Oral Antibiotics for Treatment of Gram-Negative Bacteremia in Solid Organ Transplant Recipients: A Propensity Score Weighted Retrospective Observational Study.

European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes, 2021 Dec 06

Antithrombotic Management in Adult Kidney Transplantation: A European Survey Study.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020 Nov 05

Orally Administered Human Immunoglobulin Therapy for Norovirus Enteritis in Solid Organ Transplant Recipients: A Case Series at a Single Academic Transplant Center.

Clinical transplantation, 2022 Jan 20

Nitazoxanide treatment for norovirus infection in solid organ transplant recipients.

General Internal Medicine

Transplant nephrology

Questions discussed in this category

Papers discussed in this category

Related Topics in General Internal Medicine