Re: Post operative fever

From: art fougner, md (evsono@pipeline.com)
Wed Apr 11 14:19:30 2001


any hydronephrosis? persistent fever and abnormal renal function following hysterectomy suggests confirming the integrity of the urinary tract.

art

At Wed, 11 Apr 2001, DoctorJoe@aol.com wrote: >
>In a message dated 4/11/01 12:59:43, rgayetri@bgl.vsnl.net.in writes:
>
><< A patient had massive post partum haemmorhage following which she had a
>hysterectomy.She developed fever from the 7th postoperative day and
>still continues to have fever -high grade fever one month later and
>except for deranged renal function tests and disorientation has no other
>signs . Can a swab or a gauze left in the abdomen cause high grade
>fever without any abdominal signs or discharge from the abdominal wound? >>
>
>Absolutely. If it is walled off somewhere, it won't necessarily drain from
>the abdomincal wound. She needs a detailed examination and probably imaging
>studies to look for a pocket or abscess or foreign body...
>
>Joe P.

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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