Transplant Emergencies

Transplanted organs don't act like normal organs, won't hurt and are in weird locales - Jessica Goldonowicz MD

Transplant Emergencies
Transplant Emergencies

image by: Gentherm Medical

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Transplant Emergencies - Dr. Goldonowicz

Rejection

  • Hyperacute - w/in minutes - we won't see
  • Acute
  • Chronic

Anatomy

  • Vascular - stenosis, aneurysm, thrombosis
  • Nonvascular - leak, scar formation, dislodged stint, stone formation

Infection

  • First 28 days - nosocomial
  • 1-6 months - viral infections - CMV, hepatitis, EBV, HH6; oppurtunisitcs - PCP, listeria, fungal
  • > 6 months - Healthy - UTI, PNA, cold, Chronic viral infection - EBV, zoster, HSV

Drug Toxicity

  • Transplant immunosuppressants - cyclosprine,…

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Resources

 Transplant Emergencies - Dr. Goldonowicz

Transplanted organs don't act like normal organs, won't hurt and are in weird locales...

Rush Emergency Medicine

Working in the ED of a hospital that performs transplants means that you see a lot of people that are pre-, post-, post-and-pre-again-transplant. We are very very lucky that the transplant teams at Rush are very involved and involved early. In fact we are so lucky that transplant surgeon Dr. Edie Chan, came and give us a talk. This post is in summary of some of the wisdom she imparted on us: focusing specifically on liver and kidney transplants.

WikEM

Most transplant-related emergencies due to one of the following: Infection, Medication side effect, Graft-versus-host disease, Postoperative complications, Altered physiology due to transplanted organ.

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