ID
43661
Description
Item used as routine documentation by Clinic Bremen-Mitte, Urology Department, Kidney transplant. ODM derived from form “Anmdeldebogen- NTx” Number TPLF006, Version 3, Transplant Center Bremen, Clinic Bremen-Mitte gGmbH 28177 Bremen. Investigations before registering for kidney transplant (Application with medical report and Epicrisis) 1. Obligatory examinations 1.1. Imaging techniques - Chest X-ray in two planes (Finding and image) - X- ray pelvis overview (without gonad protection in females) (Finding and image) - Abdominal ultrasonography (liver, gall bladder, kidney own, aorta) 1.2. Consultation and additional examinations - Ophthalmologist - Gynecologist - Dermatologist - Otolaryngologist - Dentist - Urologist: Uroflow (rest precipitation> 500 mL / d), residual urine, sediment, urine culture, Prostate palpation and PSA determination aged 30 and older - Cardiologist: ECG (Original / Copy) 1.3. Laboratory tests Blood count, electrolytes, urea, creatinine, uric acid, iPTH, inorg. Phosphate, alkaline phosphatase, GGT, ALT, AST, LDH, total Bilirubin, total Protein, fasting blood sugar level, basal C-peptide and HbA1c (In all diabetics), triglycerides, cholesterol, BSG, BM-Test Colon albumin (3x), 55 years and older colonoscopy (according to current guideline) 1.4. Virology - Hepatitis (HBsAg, HBcAK, HBsAK, HCV antibodies) - HIV (1 and 2), CMV, EBV, VZV 1.5. Hepatitis B vaccination (with antibody detection) 2. Selective indicated examinations 2.1. Imaging tests - Abdominal CT by cystic kidneys, tumors in the History, Analgesic nephropathy - Coronary angiography by cardiac risk, by diabetics - Arterial angiography by PAD, pelvic vascular sclerosis in pelvic x- ray - Colonoscopy / Colon contrast enema with diverticulosis - CT abdomen on spec diverticulitis - Voiding cystourethrogram (VCUG) at Pyelonephritis-, urinary tract infection or stone in the urinary tract , unclear etiology of renal insufficiency - Urethro cystoscopy, retrograde Urethrography left/ right and Bladder irrigation left/ right Analgesic nephropathy or hematuria - Kidney bladder overview by medical history of kidney stone 2.2. Other examinations - Echocardiography, exercise ECG by aged 50 and older and by all diabetics - Gastroscopy at ulcer anamnesis - Lung function tests only if indicated (all smokers) - Carotid Doppler by flow noise or cerebral circulatory disorder
Mots-clés
Versions (2)
- 24/04/2016 24/04/2016 -
- 20/09/2021 20/09/2021 -
Téléchargé le
20 septembre 2021
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC 3.0
Modèle Commentaires :
Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.
Groupe Item commentaires pour :
Item commentaires pour :
Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.
Registration Form Kidney Transplant Urology Department Transplant Center Clinic Bremen-Mitte
Registration Form Kidney Transplant
- StudyEvent: ODM
Description
Diagnose
Alias
- UMLS CUI-1
- C0011900
Description
(Befundkopie bitte beifügen)
Type de données
text
Alias
- UMLS CUI [1]
- C0022658
Description
histology kidney disease
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0019638
- UMLS CUI [1,2]
- C0022658
Description
diagnosis date
Type de données
date
Alias
- UMLS CUI [1]
- C2316983
Description
diagnosis
Type de données
text
Alias
- UMLS CUI [1]
- C0011900
Description
Therapie
Alias
- UMLS CUI-1
- C0087111
Description
dialysis date
Type de données
date
Alias
- UMLS CUI [1]
- C3262256
Description
dialysis Hemodialysis Hemofiltration continuous ambulatory peritoneal dialysis
Type de données
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0019004
- UMLS CUI [1,3]
- C0019014
- UMLS CUI [1,4]
- C0031140
Description
therapy duration
Type de données
text
Alias
- UMLS CUI [1]
- C0444921
Description
dialysis days
Type de données
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0439228
Description
shunt
Type de données
text
Alias
- UMLS CUI [1]
- C0542331
Description
medical complication shunt
Type de données
text
Alias
- UMLS CUI [1,1]
- C0009566
- UMLS CUI [1,2]
- C0542331
Description
diuresis
Type de données
float
Unités de mesure
- ml/24 h
Alias
- UMLS CUI [1]
- C0012797
Description
dry weight
Type de données
float
Unités de mesure
- kg
Alias
- UMLS CUI [1]
- C1439839
Description
body height
Type de données
float
Unités de mesure
- cm
Alias
- UMLS CUI [1]
- C0005890
Description
Dialysis issue
Type de données
text
Alias
- UMLS CUI [1,1]
- C0011946
- UMLS CUI [1,2]
- C0033213
Description
medications
Type de données
text
Alias
- UMLS CUI [1]
- C0013227
Description
Anamnestische Angaben
Alias
- UMLS CUI-1
- C0021055
Description
Anamnesis
Type de données
text
Alias
- UMLS CUI [1]
- C0021055
Description
hypersensitivity
Type de données
text
Alias
- UMLS CUI [1]
- C0020517
Description
social history; psychological history
Type de données
text
Alias
- UMLS CUI [1]
- C0945165
- UMLS CUI [2]
- C0679832
Description
nicotine consumption
Type de données
integer
Unités de mesure
- /d
Alias
- UMLS CUI [1]
- C1519386
Description
Substance Use Disorder
Type de données
text
Alias
- UMLS CUI [1]
- C0038586
Description
Klinische Beurteilung
Alias
- UMLS CUI-1
- C1261322
Description
General condition
Type de données
text
Alias
- UMLS CUI [1]
- C1142435
Description
Blood pressure
Type de données
text
Unités de mesure
- mmHg
Alias
- UMLS CUI [1]
- C0005823
Description
Heart rate
Type de données
integer
Unités de mesure
- /min
Alias
- UMLS CUI [1]
- C0018810
Description
heart rhythm
Type de données
text
Alias
- UMLS CUI [1]
- C0232187
Description
Chest percussion; auscultation chest
Type de données
text
Alias
- UMLS CUI [1]
- C1285807
- UMLS CUI [2]
- C0577960
Description
auscultation abdomen; Percussion abdomen
Type de données
text
Alias
- UMLS CUI [1]
- C2089447
- UMLS CUI [2]
- C0437020
Description
BM Test Colon
Type de données
text
Description
BM Test Colon
Type de données
text
Description
BM Test Colon
Type de données
text
Description
Palpation carotid artery right
Type de données
text
Alias
- UMLS CUI [1]
- C0488805
Description
Palpation carotid artery left
Type de données
text
Alias
- UMLS CUI [1]
- C0488804
Description
Palpation femoral artery right
Type de données
text
Alias
- UMLS CUI [1]
- C0488809
Description
palpation femoral artery left
Type de données
text
Alias
- UMLS CUI [1]
- C0488808
Description
palpation popliteal artery right
Type de données
text
Alias
- UMLS CUI [1]
- C0488811
Description
palpation popliteal artery left
Type de données
text
Alias
- UMLS CUI [1]
- C0488810
Description
palpation tibial artery right
Type de données
text
Alias
- UMLS CUI [1]
- C0488812
Description
palpation tibial artery left
Type de données
text
Alias
- UMLS CUI [1]
- C0488813
Description
palpation Right dorsalis pedis artery
Type de données
text
Alias
- UMLS CUI [1,1]
- C0030247
- UMLS CUI [1,2]
- C0834665
Description
palpation Left dorsalis pedis artery
Type de données
text
Alias
- UMLS CUI [1,1]
- C0030247
- UMLS CUI [1,2]
- C0834666
Description
Immunologische Angaben
Alias
- UMLS CUI-1
- C1533716
- UMLS CUI-2
- C0205470
Description
Blood group
Type de données
text
Alias
- UMLS CUI [1]
- C0005810
Description
blood transfusions
Type de données
text
Alias
- UMLS CUI [1]
- C0005841
Description
Blood Transfusions period
Type de données
text
Alias
- UMLS CUI [1,1]
- C0005841
- UMLS CUI [1,2]
- C1948053
Description
Blood Transfusion
Type de données
integer
Alias
- UMLS CUI [1]
- C0005841
Description
red cell concentrate
Type de données
boolean
Description
whole blood
Type de données
boolean
Alias
- UMLS CUI [1]
- C0370231
Description
Fresh frozen plasma
Type de données
boolean
Alias
- UMLS CUI [1]
- C0016709
Description
organ transplantation
Type de données
boolean
Alias
- UMLS CUI [1]
- C0029216
Description
Organ Transplantation centre
Type de données
text
Description
year Organ Transplantation
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0439234
- UMLS CUI [1,2]
- C0029216
Description
ET-Number
Type de données
integer
Description
Antibodies
Type de données
boolean
Alias
- UMLS CUI [1]
- C0003241
Description
antibodies
Type de données
text
Alias
- UMLS CUI [1]
- C0003241
Description
Pregnancy
Type de données
boolean
Alias
- UMLS CUI [1]
- C0032961
Description
pregnancy
Type de données
text
Alias
- UMLS CUI [1]
- C0032961
Description
autoimmune disease
Type de données
boolean
Alias
- UMLS CUI [1]
- C0004364
Description
autoimmune disease
Type de données
text
Alias
- UMLS CUI [1]
- C0004364
Similar models
Registration Form Kidney Transplant
- StudyEvent: ODM
C0030705 (UMLS CUI [1,2])
C1514821 (UMLS CUI [1,3])
C0022658 (UMLS CUI [1,2])
C0019004 (UMLS CUI [1,2])
C0019014 (UMLS CUI [1,3])
C0031140 (UMLS CUI [1,4])
C0439228 (UMLS CUI [1,2])
C0542331 (UMLS CUI [1,2])
C0033213 (UMLS CUI [1,2])
C0679832 (UMLS CUI [2])
C0577960 (UMLS CUI [2])
C0437020 (UMLS CUI [2])
C0834665 (UMLS CUI [1,2])
C0834666 (UMLS CUI [1,2])
C1948053 (UMLS CUI [1,2])
C0029216 (UMLS CUI [1,2])