RT Book, Section
A1 Unterman, Sarah E.
A2 Cydulka, Rita K.
A2 Fitch, Michael T.
A2 Joing, Scott A.
A2 Wang, Vincent J.
A2 Cline, David M.
A2 Ma, O. John
SR Print(0)
ID 1143142573
T1 The Transplant Patient
T2 Tintinalli's Emergency Medicine Manual, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071837026
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1143142573
RD 2024/04/20
AB Management  of  patients  with  transplanted  organs  in  the  emergency  department  (ED)  involves  three  general  areas:  (1)  disorders  specific  to  certain  transplanted  organs,  (2)  disorders  common  to  many  different  kinds  of  transplant  patients  due  to  an  immunosuppressed  state  or  antirejection  medications,  and  (3)  disorders  not  specifically  related  to  a  transplanted  organ  but  where  special  care  may  be  warranted  due  to  associated  medications  or  altered  physiology.  Disorders  specific  to  the  transplanted  organ  are  manifestations  of  acute  rejection,  surgical  complications  specific  to  the  procedure  performed,  and  altered  physiology  (most  important  in  cardiac  transplantation).  The  most  common  conditions  that  prompt  transplant  patients  to  present  to  the  ED  are  infections  (39%),  noninfectious  gastrointestinal  (GI)  or  genitourinary  pathology  (15%),  dehydration  (15%),  electrolyte  disturbances  (10%),  cardiopulmonary  pathology  (10%)  or  injury  (8%),  and  rejection  (6%).