Fever C28 P180-181 Flashcards Preview

Section I, Surgical Recall Sixth Edition > Fever C28 P180-181 > Flashcards

Flashcards in Fever C28 P180-181 Deck (15):
1

Define postoperative fever.
P180

Temperature >38.5 C or 101.5 F

2

What are the classic W’s of
postoperative fever? (5)
P180

Wind—atelectasis
Water—urinary tract infection (UTI)
Wound—wound infection
Walking—DVT/thrombophlebitis
Wonder drugs—drug fever

3

Give the classic postoperative
timing for the following
causes of postoperative fever:

Atelectasis (Wind)
P180

First 24 to 48 hours

4

Give the classic postoperative
timing for the following
causes of postoperative fever:

UTI (Water)
P180

Anytime after POD #3

5

Give the classic postoperative
timing for the following
causes of postoperative fever:

Wound infection (Wound)
P180

Usually after POD #5 (but it can be
anytime!)

6

Give the classic postoperative
timing for the following
causes of postoperative fever:

DVT/PE/thrombophlebitis
(Walking)
P180

PODs #7 to #10

7

Give the classic postoperative
timing for the following
causes of postoperative fever:

Drug fever (Wonder
drugs)
P180

Anytime

8

What is the most common
cause of fever on
postoperative days 1 to 2?
P180

Atelectasis

9

What is a “complete” fever
workup?
P181

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

10

What causes fever before
24 postoperative hours?
P181

Atelectasis, -hemolytic streptococcal or
clostridial wound infections, anastomotic
leak

11

What causes fever from
postoperative days 3 to 5?
P181

UTI, pneumonia, IV site infection,
wound infection

12

What is an anesthetic cause
of fever INTRAoperatively?
P181

Malignant hyperthermia—treat with
dantrolene

13

What causes fever from
postoperative days 5 to 10?
P181

Wound infection, pneumonia, abscess,
infected hematoma, C. difficile colitis,
anastomotic leak
DVT, peritoneal abscess, drug fever
Pulmonary embolism, abscess, parotitis

14

What causes wound
infection on postoperative
days 1 to 2?
P181

Streptococcus
Clostridia (painful bronze-brown weeping
wound)

15

What can cause fever at any
time?
P181

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