Before being given an “Active Status” on the United Network for Organ Sharing (UNOS) list, patients will undergo an extensive medical examination of body systems and corresponding tests to determine their ability to have a transplant. Tests include:

• Blood work, including blood typing
• Urine testing, including a 24-hour collection for kidney function
• EKG – electrocardiogram to assess heart condition
• Ultrasound of the abdomen to look a liver and blood vessels that connect to the liver
• Skin tuberculosis test (TB)
• Other types of x-rays, such as CT scans, MRI, heart and lung tests
• Possible liver biopsy
• Transplant hepatologist consult
• Transplant surgeon consult
• Social worker assessment
• Financial coordinator consult
• Nutrition consult
• Consult with other healthcare professionals, as necessary

To speed up the process of getting on the UNOS list, patients should complete the following health maintenance testing prior to their evaluation at MUSC:

• Mammogram and PAP smear for females
• PSA for men over age 40
• Colonoscopy for patients over age 50
• Oral health clearance from a dentist

The results of these tests ensure that patients do not have a hidden infection or cancer that would lead to denial of transplantation. In addition, patients must follow the MUSC Liver Transplant Program substance abuse and alcohol policy, which states that they must be abstinent from alcohol and addictive substances at all times. Random alcohol and drug screenings can be given at any time.