Kidney Transplant Evaluation (Case 52)

Chapter 71 Kidney Transplant Evaluation (Case 52)



Case: A 46-year-old female on dialysis for 3 years with end-stage renal disease due to glomerulonephritis is referred for kidney transplant evaluation.





PATIENT CARE






Tests for Consideration


Editor’s note: Preoperative testing for kidney transplantation has four objectives:































































 
• ABO blood group, HLA-A, -B, -DR, panel-reactive antibody, lymphocytotoxic crossmatches $240

 
• CBC, metabolic panel, LFTs $21
• EKG (and cardiac evaluation if needed) $50 ($500)
• Dental examination (within past year) $50
• Voiding cystourethrography if GU symptoms present $250
• Ultrasonography of the kidney $185

 
• Anergy panel, PPD, HIV test $115
• CXR $136
• Culture urine/sputum/blood to r/o infection $45
• Hepatitis panel (hepatitis B/C) $65
• HBsAg, HBsAb, and HBcAb; hepatitis C antibody; and RNA assay by PCR $65
• CMV (IgG, IgM titer) $45

 
• Prostate-specific antigen (men > 50 years) to r/o prostate cancer $65
• PAP smear/mammography (women > 40 years) to r/o malignancy $125
• Colonoscopy (men/women > 50 years) $625











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Mar 20, 2017 | Posted by in GENERAL SURGERY | Comments Off on Kidney Transplant Evaluation (Case 52)
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