Recipient Work-Up Protocol , Basic Work-Up

Cardiac

1) EKG.


2) CXR - PA and lateral.


3) Echocardiogram.


4) Persantine thallium scan.


5) If Persantine thallium is abnormal, then proceed with coronary angiography.


6) Consultation with cardiology.


7) Non-invasive vascular evaluation in vascular laboratory as indicated.

Genitourinary

1) Voiding cystourethrogram.


2) Males - prostatic specific antigen

Endocrine

1) Consultation with the pancreas transplant endocrinologist.


2) Glycosylated hemoglobin.


3) Stimulated C-peptide level.
The patient is given one-half ampoule of glucagon or Sustacal challenge.
The C-peptide level is obtained after ninety minutes.

Routine Transplant Evaluation

1) Abdominal ultrasound to evaluate renal lithiasis, cholelithiasis, abdominal aortic aneurysm, hepato-splenomegaly.


2) Evaluation by dentist to rule out oral infectious source.


3) Yearly gynecological examination, pap smear for all female candidates and documentation of contraceptive technique in females of child bearing age. If * 50 y/o then yearly mammogram.


4) Evaluation for indications for Hepatitis B vaccination.

Laboratory Examination

1) CBC with differential and platelets.


2) SMA-20 which includes electrolytes, LFT's, renal function, magnesium.


3) RPR.


4) Hepatitis B surface antigen, and core antibody.


5) Hepatitis C antibody. If reactive, then obtain Hepatitis C quantitative PCR.


6) Viral serology for CMV-IgG, antibody titers.


7) HIV ELISA.


8) HLA typing and panel reactive assay (PRA).