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Core IM | Internal Medicine Podcast

#133 Post-Kidney Transplant: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 16 August 2023

⏱️ 47 minutes

🧾️ Download transcript

Summary

What are side effects of tacrolimus and mycophenolate? And what are common medication interactions? What causes of acute kidney injury are unique to renal transplant recipients When a patient has a fever, what are the viral syndromes we should work up? What are signs and symptoms of rejection?

Timestamps

  • 02:41 Types of Immunosuppression
  • 14:31 Medication Reconciliation
  • 22:36 AKI in the Transplant Patient
  • 31:53 Infections in the Transplant Patient
  • 40:00 Transplant rejection, cancer after transplant


CME: http://bit.ly/CIMCME || Show Notes & Transcript

Tags: IMCore, CoreIM, renal, internal medicine podcast, hospitalist, nephrology, immunosuppressive



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Transcript

Click on a timestamp to play from that location

0:00.0

This month will account for CMA credit with the American College of Physicians.

0:04.7

We'll link the URL in the show notes, follow the link, complete three questions and get CMA credit.

0:09.6

Without any further ado, let's get into it.

0:11.6

I think every nephron is is precious and I

0:16.3

think in the CKD native kidney patient is not different than the CKD transplant

0:21.6

patient we think of the transplant as this gift from another person or a family and it is.

0:27.2

What are our own kidneys are gifts to. That's Dr. Martha Pavlachis, a

0:31.5

transplant nephroologist at Beth Israel Deaconess Medical Center and the chair of the Kidney

0:35.6

Transplant Committee of Organ Procurement and Transplantation Network.

0:39.6

A mouthful, but basically she's a big deal.

0:43.0

Welcome to the Core I Am Five Pearls Podcast bringing you high-yield evidence-based pearls.

0:48.0

I'm Dr. Shreda Treveti and I'm joined by...

0:50.0

Hey everyone, I'm Dr. Marcus Fue, a nephrogy fellow at Beth Israel Deaconess Medical Center.

0:55.7

This is an amazing opportunity to come out to the show and discuss the best renal replacement

1:00.1

therapy around the transplant. Ah, we did learn that in the pre-transment episode so I'm

1:05.9

excited to learn so much more. Let's get into what we'll be covering today.

1:10.0

Test yourself by pausing after each of the five questions.

1:13.4

Remember the more you test yourself, the deeper your learning gains.

1:16.5

Pearl 1, types of immunos oppression.

1:19.3

One of the common side effects we see with tachrolymus and mycophinalite?

1:24.0

Pearl 2, medication reconciliation.

1:33.0

What medications increase the amount of tachrelymis and increase toxicity?

...

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