renal failure and renal transplantation

Lecture name:-Renal failure and Renal transplantation.
By Dr.Salam Abd ELameer Yihya. (F.I.B.M.S.URO)
Time:-1 hr.
Aims of the lecture:-
At the end of the lecture , the student should be able to :
1- diagnose and differentiate acute and chronic renal failure.
2-Recognize which patients are suitable for renal transplantation and
those who are not.
3-Identify the main steps in choosing and preparing the donor and the
recipient.
4-Identify the main complications of renal transplant and how to
manage these complications.
Contents:
*Acute and chronic renal failure:
*Indications and contraindications of renal transplant:
*Steps of renal transplant:
*Complications:
Renal failure:
A) Acute R.F. : it ccc. by sudden and usually reversible decline in the
renal function.
Causes:
1) Prerenal causes of acute renal failure include :
• hypovolaemia .
• blood loss .
• .sepsis
• cardiogenic shock .
• anaesthesia .
• hypoxia .
2) Renal causes: which either renal parenchymal dis or renal vascular
diseases as:
a. Glomerulonephritis
b. Interstitial nephritis
c. Toxin, drug or dye-induced
d. Hemolytic uremic syndrome
e. Acute tubular necrosis
g. thromboembolism of micro vasculature of the kidneys.
C) Postrenal
. .Calculus in patients with solitary kidney
. .Bilateral ureteral obstruction
. .Outlet obstruction