18 hours after a large incisional hernia repair, the patient develops fever, dyspnea, non-productive cough and ECG shows non-specific changes. What is the single most likely diagnosis?
سؤال مجاني 6 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: C. Atelectasis
Fever with dyspnoea and a dry cough within the first post-operative day after abdominal surgery is atelectasis ("Wind", days 1–3); post-op shallow breathing from pain is a key risk factor. Pulmonary embolism ("Walking", DVT) typically appears around days 5–7, and non-specific ECG changes do not point to it. Pneumonia would usually give a productive cough, and UTI comes at days 3–5.
ليش كل خيار صح أو غلط
-
A
ليش غلط
In the post-op fever timeline, DVT ("Walking", the source of PE) causes fever at 5-7 days, not at 18 hours.
✓ Post-operative complications.pdf · p. 3 -
B
ليش غلط
Pneumonia is a later complication of atelectasis (increased risk of infection); a dry cough on the first post-op day fits atelectasis.
✓ Atelectasis & bronchiectasis.pdf · p. 2 -
C
ليش صح
Atelectasis ("Wind") is the cause of fever on post-op days 1-3, which fits fever 18 hours after surgery.
✓ Post-operative complications.pdf · p. 3 -
D
ليش غلط
Post-operative UTI ("Water") causes fever at 3-5 days, not at 18 hours.
✓ Post-operative complications.pdf · p. 3
- المصدر
- Post-operative complications.pdf · p. 3
Atelectasis & bronchiectasis.pdf · p. 2 - المحاضرة
- Other Lung Diseases (ILD, Bronchiectasis, Lung Cancer) · Pulmonology · Module B
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- Respi bank