PACES Channel (HELPING HANDS MEDICAL EDUCATION CENTRE)

Heart beating donor means patient has brainstem death and so organ retrieval done when heart is still beating. Known as Donation after brain death (DBD). Non- heart beating donor means organ retrieval done after cardiac arrest. Also known as Donation after circulatory death (DCD).

These are types of organ donors.

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Discussion time!! Transplant information 2 👉 How many types of organ donors are there? 👉Do you have any knowledge on heart-beating and non-heart beating donors?

Common Indications for combined liver-kidney transplant 1. Advanced COL with HRS 2. HCV causing advanced COL and renal failure dt cryoglobulinaemia 3. Liver transplant first and immunosuppressants induced nephrotoxicity needing kidney transplant

Heart-lung transplant is usually done in - cardiac diseases with Eisenmenger S - Chronic lung ds with severe pulmonary HT with corpulmonale Kidney-pancreas transplant is done for - Type 1 DM complicated with nephropathy(CKD)

Indications for kidney and liver transplant Main indication categories of liver transplant are -acute fulminant liver failure -end stage chronic liver disease -HCC But for kidney transplant main indication is ESRD of varing cause. No need to do transplant for AKI as it can be controlled with dialysis.

👉Single organ transplants Kidney (commonest) Liver (2nd commonest) Bone marrow Heart Lungs Pancreas Intestines (rare) 👉Combined organ transplants Heart lung transplant Kidney pancreas transplant Kidney liver transplant

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Discussion Time!! Transplant information 1 👉What are common single organ transplants done nowadays? 👉Do you have any knowledge on combined organ transplant? What type of combined transplant can be done?

3. Treatment - Steroid cream or ointment - Systemic steroid - Potent immunosuppressants - aza, cyclosporine - Retinoids - Light therapy - UVB

2. Other area to check is oral mucosa for Wickham striae.

These are also lichen planus

1. Lichen planus - violaceous papules and plaques which is itchy Predilection sites - wrist, ankles and lower back

1. What is this rash? 2. What other area would you like to check? 3. What is treatment?