Question:
What would you do in a case A patient did the kidney scintigraphy, and results came as follows: 13% contribution from the first kidney and 87% from the second one?
Author: H KAnswer:
• By definition, any kidney’s function below 15% is defined as non-functional and we should remove it. --> Indication for Nephrectomy • The creatinine levels will not change after removal because this kidney was not functioning and was not contributing to creatinine elimination in the first place. • Why do we remove it and not fix it? Fixing the kidney comes with high risk of infection and complications which might lead to sepsis while fixing it. (The kidney was not functioning and there is a stasis of urine, so there are bacteria which means if we choose to fix this kidney, we are allowing the bacteria to spread --> sepsis)
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