Pre PACES Podcast #109 Perfect Presentations: Renal transplant
Mar 16, 2025
A model presentation of a renal transplant assessment with a simulated right iliac fossa graft walkthrough. Focused history points and targeted investigations like tacrolimus levels and graft ultrasound are covered. Practical acute management for septic transplant patients and key long term care principles are discussed. A clear structure for approaching transplant clinical stations is provided.
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Structure Your Transplant Presentation
- Present exam findings concisely: state the transplant location, scar, graft feel, and whether there are infection signs.
- Then summarise likely cause, differentials, and comment on dialysis access and immunosuppression effects.
Investigations To Prioritise Immediately
- Always plan immediate investigations: observations (esp. blood pressure), urine dip, renal bloods, FBC, CRP and tacrolimus level if used.
- Request graft ultrasound to check perfusion, hydronephrosis and fluid collections.
Acute Management Of A Septic Transplant Patient
- Manage a septic transplant patient with ABCDE and sepsis bundle: oxygen, IV antibiotics, fluids, blood cultures and lactate.
- Involve the transplant team early about immunosuppression adjustments and catheter use to monitor fluid balance.