This episode of the Core IM Five Pearls Podcast features Drs. Shreya Trivedi and Marcus Fu, along with insights from transplant nephrologists Drs. Martha Pavlakis and Karen True, focusing on key considerations for managing kidney transplant patients. The discussion covers common immunosuppressive medications like tacrolimus and mycophenolate, emphasizing their side effects and drug interactions. It also addresses the evaluation of acute kidney injury (AKI) in transplant recipients, differentiating unique causes and management strategies. Furthermore, the podcast highlights the importance of judicious viral screening for fever workups, specifically discussing CMV, EBV, and BK virus. The episode concludes with a discussion on the patient experience post-transplant, including the risk of rejection and increased cancer prevalence, stressing the importance of adherence to medication and cancer screening.
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