MedCosmos Surgery
Surgery Lecture Notes, Books, MCQ and Good Articles
Wednesday, September 3, 2008
Post Operative Fever
Post Operative Fever
1- Malignant hyperthermia
Onset immediately post op
2- Benign postoperative fever
Associated with trauma of surgery and diagnosis of exclusion
3- Pneumonia
Productive cough or dyspnea; evidence of consolidation on lung
exam; hypoxemia on arterial blood gases or oximetry; diagnosis
confirmed by chest x-ray film
4- UTI
Onset 2-3 days; increased risk associated with urinary tract
instrumentation and indwelling urinary catheter
5- Alcohol withdrawl
Onset 2-5 days; history may not show alcohol or drug dependence;
other CNS depressants are associated with similar manifestations, but
time frame may vary. Alcohol withdrawal symptoms and signs may
include hypertension, tachycardia, nausea, piloerection, seizures, and
delirium; these peak at 48-96 hours after cessation of drinking.
6- Superficial vein thrombophlebitis
7- Cellulitis
Wound and other surgical infections
Onset 4-10 days; wound infections can occur early in the
postoperative period, whereas deeper infections such as abscesses
occur later
8- Medication toxicity
Surgery Lecture Notes, Books, MCQ and Good Articles
Wednesday, September 3, 2008
Post Operative Fever
Post Operative Fever
1- Malignant hyperthermia
Onset immediately post op
2- Benign postoperative fever
Associated with trauma of surgery and diagnosis of exclusion
3- Pneumonia
Productive cough or dyspnea; evidence of consolidation on lung
exam; hypoxemia on arterial blood gases or oximetry; diagnosis
confirmed by chest x-ray film
4- UTI
Onset 2-3 days; increased risk associated with urinary tract
instrumentation and indwelling urinary catheter
5- Alcohol withdrawl
Onset 2-5 days; history may not show alcohol or drug dependence;
other CNS depressants are associated with similar manifestations, but
time frame may vary. Alcohol withdrawal symptoms and signs may
include hypertension, tachycardia, nausea, piloerection, seizures, and
delirium; these peak at 48-96 hours after cessation of drinking.
6- Superficial vein thrombophlebitis
7- Cellulitis
Wound and other surgical infections
Onset 4-10 days; wound infections can occur early in the
postoperative period, whereas deeper infections such as abscesses
occur later
8- Medication toxicity
