### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Sir , I am raj kamal mishra from ranchi ,jharkhand .My wife smt. Usha Kiran Mishra has transplanted her kidni on 15/11/2010.She has discharged form the hospital on 2/12/2010. She is facing problems of decreasing quantity of urine and increasing of ser. Crit. She is under the treatment of the doctors of appolo Ranchi.I am sending her priscriptions and reprts with arequest that kindly advise me on following issues:-(A) Wher the condition of the patient compelled her for his immidiate admission in your hospital or your good advices on her place is sufficient for her recovery and she has to wait and watched to the responses of the medicine.(B) Whether the meadicine which is prescribed by the doctor is sufficient or she neeed any other medicine which is not adviced by the doctor .(C) What other tasts reports is neccessary to her.(D) Whether her condition is embrassing or it is general situation of a patient of kindni transplant.I shall be highly obliged for this act of your kindness.raj-kamal mishra (civil-judge Ranchi , jharkhand)

### output:

Hello, As a urologist and kidney transplant surgeon, I understand your anxiety. Your wife has most likely developed changes of acute rejection. Your question isn't showing any reports or prescriptions with it, so can't comment about it. Her condition needs following tests to advise treatment:1. Urine routine and culture2. Blood routine, creatinine, RBS, LFT, platelets and electrolytes3. Ultrasound scan of the transplant, with Doppler or a nuclear scan4. A renal biopsyAccording to the reports, an expert opinion can be given. Hope I have answered your query. Let me know if I can assist you further.