Who Should Be Admitted? Who Can Be Discharged Safely and with What Instructions?
Abdominal pain is one of the most common presenting complaints, and many of those patients have some degree of immunosuppression. The indicators used to identify pathology are often unreliable in the immunocompromised patient. Providers must expand their differential to include the less common opportunistic infections that can occur in these patients. Regardless of the findings, discharge home is rarely ever appropriate for these patients. This is especially true because the typical indicators for return upon discharge are often nonexistent.
KeywordsAbdominal pain Immunocompromised Immune suppressed Opportunistic abdominal infections Disposition Discharge instructions
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