The Correct Answer is AThe classic teaching that pulmonary atelectasis is a cause of fever after abdominal surgery has been refuted. A study to determine the connection between postoperative fever and atelectasis found no relationship. The incidence of atelectasis increased daily after surgery, whereas the incidence of fever decreased. Wound infection is statistically the most common cause of postoperative fever.
Pneumonia, urinary tract infection, and pyogenic response to medication are all possible causes of postoperative fever. Thrombophlebitis is one of the most common causes of fever after the third postoperative day.
Ref:
- Perlino CA: Postoperative fever. Med Clin North Am 2001; 85(5):1141-1149. 2)
- Townsend CM Jr: Sabiston Textbook of Surgery, ed 16. WB Saunders Co, 2001, pp 179,204.
Category:
Surgery MCQs
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