Brainscape Flashcards

1
Q

Post-Operative Pyrexia

A

Early causes of post-op pyrexia (0-5 days) include:

  • Blood transfusion
  • Cellulitis
  • Urinary tract infection
  • Physiological systemic inflammatory reaction (usually within a day following the operation)
  • Pulmonary atelectasis - this if often listed but the evidence base to support this link is limited

Late causes (>5 days) include:

  • Venous thromboembolism
  • Pneumonia
  • Wound infection
  • Anastomotic leak

When considering causes of post-op pyrexia, it is helpful to consider the memory aid of ‘the 4 W’s’ (wind, water, wound, what did we do? (iatrogenic).

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