Lesson 1Infectious disease evaluation: latent infections (TB, CMV, EBV, VZV, HBV, HCV, HIV), vaccination review, prophylaxis planningDis part go detail infection disease check for transplant candidates, stressing hidden infections, vaccine status, and personal prophylaxis plans to cut down post-transplant chance infections and come-back under immune suppression.
Screening for TB, CMV, EBV, and VZVHBV, HCV, and HIV testing and stagingPre‑transplant vaccination catch‑up planDonor‑recipient serostatus risk matchingDesigning antiviral and PCP prophylaxisLesson 2Cardiology workup: noninvasive ischemia testing, coronary angiography indications, functional capacity assessment, perioperative revascularization criteriaDis cover heart check for transplant candidates, including noninvasive lack-blood tests, when to do coronary angiography, check functional strength, and rules for blood vessel fixing to reduce heart problems during operation.
Baseline ECG and echocardiographyStress testing and ischemia detectionIndications for coronary angiographyFunctional capacity and METs assessmentRevascularization versus medical therapyLesson 3Endocrine and metabolic optimization: diabetes control strategies pre-transplant, obesity and nutritional optimization, weight-loss options and timelineDis review hormone and body process issues before kidney transplant, focusing on sugar sickness control, fatness and food, weight drop plans, and real time lines to hit body targets dat reduce operation and long-term problems.
Pre‑transplant HbA1c and glycemic targetsAdjusting insulin and non‑insulin therapiesObesity‑related surgical and graft risksNutritional assessment and protein‑energy statusPharmacologic and surgical weight‑loss optionsLesson 4Laboratory and imaging baseline tests: crossmatch/serology, HLA typing, PRA, baseline renal ultrasound and vascular imaging, baseline BK/JC viral statusDis outline key lab and picture tests dat set pre-transplant base, including HLA typing, PRA, crossmatch, blood tests, kidney ultrasound, blood vessel pictures, and BK/JC virus status to guide donor pick and operation planning.
ABO typing, HLA typing, and PRA levelsComplement‑dependent and flow crossmatchBaseline renal ultrasound and DopplerCT or MR angiography of iliac vesselsBK and JC virus PCR and serologic statusLesson 5Decision criteria to accept or delay transplant: cardiopulmonary thresholds, infection control, vascular access/target vessel suitability, BMI and metabolic targetsDis explain how team from different fields decide to go ahead or wait kidney transplant, mixing heart-lung limits, infection control, blood vessel fit, and BMI and body goals to balance urgent need against fixable risks.
Cardiopulmonary fitness and VO2 thresholdsActive infection and sepsis exclusionTarget vessel imaging and suitabilityBMI cutoffs and weight‑loss milestonesMetabolic syndrome and blood pressure goalsLesson 6Pulmonary evaluation and anesthesia risk: spirometry, sleep apnea screening, frailty and functional status assessmentDis describe lung and anesthesia risk check, including breathing tests, sleep stop-breathing screen, weakness, and daily work status, to guess operation risk and guide fixing, watching, and after-operation plans.
History, exam, and spirometry indicationsChest imaging and pulmonary hypertensionScreening and management of sleep apneaFrailty indices and gait speed testingAnesthesia risk classification and planningLesson 7Vascular surgery assessment: peripheral arterial disease mapping, iliac/femoral vessel duplex/CT angiography, access site planningDis look into blood vessel surgery check for kidney transplant plan, including mapping leg artery sickness, picture iliac and leg vessels, and pick best entry spots to make sure safe join and long-term graft blood flow.
Clinical exam for peripheral arterial diseaseDuplex ultrasound of iliac and femoral vesselsCT angiography for complex vasculatureChoosing side and site for graft anastomosisManaging severe aortoiliac occlusive diseaseLesson 8Hematology and coagulation: platelet function, anticoagulation/antiplatelet management, transfusion thresholdsDis focus on blood and clotting check, including low blood count, platelet work, and handling blood thinner and anti-clot drugs, to set blood give limits and cut bleeding and clot risks around surgery.
Baseline CBC, iron studies, and anemia planPlatelet count, function, and uremic bleedingWarfarin, DOAC, and heparin bridgingAntiplatelet interruption and continuationRed cell and platelet transfusion thresholdsLesson 9Psychosocial and adherence assessment: evaluation of social support, substance use, medication adherence predictorsDis cover proper mind-social check before transplant, including social help, mental health, drug use, and signs of medicine sticking, to find blocks and make plans dat improve long-term graft life.
Standardized psychosocial screening toolsEvaluating caregiver and social supportScreening for depression and anxietySubstance use history and toxicology testsPredictors and remediation of nonadherenceLesson 10Comprehensive medical history and physical exam: diabetes, cardiovascular, peripheral vascular disease, dialysis access reviewDis sum up full pre-transplant history and body check structure, stressing heart, leg blood vessel, sugar sickness, and dialysis entry review to find no-go and fixable operation risks.
Structured transplant‑focused historyCardiovascular and peripheral vascular reviewDiabetes complications and foot examinationDialysis access function and infection historyMedication reconciliation and allergy review
