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* Surgery CMS form 6 question!
 #860906  
  crazyhat - 01/03/20 13:03
 
  52 y/o man with type 1 DM, comes to the physician for followup. 3 years ago, he underwent a cadaveric left renal transplant for diabetic nephropathy. He has been compliant with treatment, and regimen includes prednisone and cyclosporine. He takes lisinopril for hypertension. Temp is 37'C/98.6'F, pulse 80min, RR 12/min, BP 128/82 mm Hg.

Examination shows moderate pedal edema bilaterally, and a tender 10 cm mass in left iliac fossa. Serum creatinine concentration has increased from 1.9 mg/dL to 2.7 mg/dL over the past year. Which of the following is most likely cause of renal insufficiency?


A. Chronic Cyclosporine Toxicity
B. Chronic rejection
C. HUS
D. Pyelonephritis
E. Ureteral Obstruction


Ans is given as B, but the tender mass is throwing me off, am i missing something?? anyone who could help would be much appreciated!! TIA
 
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