RENAL CPC WIG 24.01.02
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Transcript of RENAL CPC WIG 24.01.02
RENAL CPC WIG 24.01.02RENAL CPC WIG 24.01.02• P02.096• 44 year old male, ESRD due to reflux, first
cadaveric renal transplant 1999 with good function
• Recent moderately severe hypertension, treated with ACE inhibitor
• Sudden loss of function 03.01.02, anuric, sCr increased from 170 to 440umol/l, febrile, perfusion scan showed renal artery occlusion
• Tx nephrectomy, 04.01.02
Tx Nephrectomy(P02.096)ATN
Tx Nephrectomy (P02.096)Multifocal cortical infarction
Tx Nephrectomy (P02.096)Multifocal cortical infarction
RENAL CPC WIG 24.01.02RENAL CPC WIG 24.01.02• P02.096• Multifocal cortical infarction• Arterial thromboses• Polymorph-rich arteritis (?
rejection ??other cause)• ATN• Banff scores:
g0,i1,t0,v3,ah0,cg0,mm0,ci1,ct1,cv1