Action Stat: Transfusion-associated graft-versus-host disease

February 2005 
Volume 35  Number 2
Pages 88 - 88
  PDF Version Available!


  • What's the situation?

  • What's your assessment?

  • What must you do immediately?

  • What should be done later?


  • Figure. No caption a...

    PENELOPE MASTERS, 35, arrives in the ED via ambulance. She says she has fever, chills, nausea, abdominal cramping, and diarrhea. You notice a rash on her hands and feet.

    What's the situation?

    Ms. Masters tells you she received a liver transplant 3 weeks ago for nonalcoholic steatohepatitis. She was discharged from the hospital a week ago, and her recovery has been uneventful until today. Vital signs are: BP, 110/60; apical pulse, 104; respirations, 24; and temperature, 100° F (37.8° C). Her incision is approximated and healing well.

    You place Ms. Masters on a cardiac monitor, which shows sinus tachycardia. Her skin is warm and slightly jaundiced. She's alert and oriented, and her ...

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