A 45 year hoary hypertensive diabetic womanly,complaints of confusion,decrease micturition kidney transplant history

a 45 year old hypertensive,diabetic female come to emergency with complaints of fever, decrease micturition and tenderness in the muber region for 24 hours. she have a history of transplantation of kidney 2 weeks back, due to end stage renal disease. she be also on immuno spuressive therapy. she had adjectives vitals high. had pedal edema, auscultation crackles present bilaterally, perorbital puffiness, glorious urea and creatinine values. Renal biospy was done to see her condition. can you please tell me the patho physiological machinery for the development of the above sign & symptoms.
Answers:
Do your own homework!
Yep. Acute rejection. Your patient in a minute is also in a very serious state additionally due to have no renal function and receiving no dialysis treatment. There may also be an infection present as result of the surgery and the immuno-suppressant regime.

You really need to do your own homework!! How are you going to treat your patients?! This really is a massively easy question!
Let me start by saying I'm no doctor, although I do own experience with kidney transplantation, having undergone the procedure twice. Your enquiry states that the patient underwent transplantation two weeks ago, and is suffering high-ranking creatinine, urea (BUN), edema, and high vitals. From my experience, this sounds much like acute rejection, which is somewhat adjectives in the early post-transplant stages, and can regularly occur within the first six months post-transplant. It is also possible that the organ is contained by chronic rejection; that is, dying off, but that would most imagined be caused by lack of taking immunosuppressive psychotherapy, or insufficient immunosuppressive therapy. Again, I'm no doctor, just going on my personal experience and what I've literary about the transplant condition. Source(s): 34 years type 1 diabetes, SPK (Simultaneous Pancreas Kidney transplant), and isolated kidney transplant

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