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Flashcards in General Surgical Concepts Deck (12)
1

What is the most common cause of fever on postoperative days 1 to 2?

atelectasis

2

What is a “complete” fever workup?

Physical exam (look at wound, etc.),
CXR, urinalysis, blood cultures, CBC

3

What causes fever before
24 postoperative hours?

Atelectasis
β-hemolytic streptococcal or clostridial wound infections
Anastomotic leak

4

What causes fever from
postoperative days 3 to 5?

UTI
Pneumonia
IV site infection
Wound infection

5

What is an anesthetic cause
of fever INTRAoperatively?

Malignant hyperthermia—treat with dantrolene

6

What causes fever from
postoperative days 5 to 10?

Wound infection, abscess, infected hematoma
Pneumonia
C. difficile colitis
Anastomotic leak
DVT
Drugs
PE
Parotitis

7

What causes WOUND
INFECTION on postoperative
days 1 to 2?

Streptococcus
Clostridia

8

What can cause fever at any
time?

1. IV site infection
2. Central line infection
3. Medications

9

Atelectasis as a cause of post-op fever occurs when?

Post-op days 1-2

10

What medications provide
protection from postoperative
GI bleeding?

H2 blockers, PPI

11

What measures provide
protection from postoperative
atelectasis/pneumonia?

Incentive spirometry
Coughing
Smoking cessation
Ambulation

12

Why doesn’t lidocaine work
in an abscess?

Lidocaine does not work in an acidic environment