Causes Of Post Op Fever

Question 1

What is the most common cause of fever
Postop day 1
And how do u manage it ?

Answer 1

Atelectasis
Due to collapse of the alveoli
Mx
Incentive spirometer and adequate analgesia

Question 2

What are the causes of pod2/3 fever ?

Answer 2

Most common cause is uti (it’s the most common cause of Hospital acquired infection)
Pneumonia
Superficial thrombophlebitis (due to it cannula )

Question 3

What do you understand by SSI ?

Answer 3

Infection of a wound within 1 month of surgery

Or within 1 year in case of an implant

Question 4

Which day fever does SSI cause ?

Answer 4

Pod 4/5

Question 5

What are the causes of pod 4/5 fever ?

Answer 5

SSI

Deep vein thrombosis

Question 6

What are the types of SSI ?

Answer 6

Superficial (above fascia )
Deep (below fascia)
Organ space

Question 7

What is the m/c hospital acquired infection in a surgical patient ?

Answer 7

SSI

Question 8

What are the ways of preventing dvt?and which is superior ?

Answer 8

2 ways
Pharmacological -use of LMWH
Mechanical -early ambulation and use of pneumatic compression stockings

Question 9

Burst abdomen causes which day post op fever ?how will you identify it ?

Answer 9

Pod 6
There will be large quantity serous discharge
Salmon fluid sign
Emergency intervention -bugotabag/urobag laprostomy
Definitive - rectus sheath closure

Question 10

Urobag laprostomy is done using what suture materials ?

Answer 10

Ethylon (2.0)cutting

Question 11

What is the cause of fever pod7 ?and how will u manage it?

Answer 11

Intraabdominal collection/ abscess

Usg guided pigtail cathetar drainage

Question 12

How will u diagnose a intraabdominal collection?

Answer 12

Cect

Question 13

What is the most common site of intra abdominal collection in a ambulatory patient ?

Answer 13

Pouch of Douglas and it is most common overall too

Question 14

What is the most common site of intra abdominal collection in a bed ridden patient

Answer 14

Morrison’s pouch