A 65-year-old recipient of a deceased donor kidney transplant presents for a routine evaluation. End-stage renal disease (ESRD) was due to adult autosomal dominant polycystic kidney disease. She received her transplant 4 months previously. Induction was accomplished by antithymocyte globulin and has been maintained on tacrolimus, mycophenolate mofetil, and prednisone. Her baseline creatinine had been between 1.1 and 1.4 mg/dL. She reports noticing some ankle swelling, weight gain, and increased home blood pressure readings. On exam she has 1+ pitting ankle edema; lungs are clear; heart regular with no murmur. Routine chemistry reveals a creatinine of 1.8 mg/dL.
|Original language||English (US)|
|Title of host publication||Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation|
|Publisher||Springer New York|
|Number of pages||15|
|ISBN (Print)||1461444535, 9781461444534|
|State||Published - Nov 1 2013|
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