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Gold/Mining/Energy : Gold and Silver Juniors, Mid-tiers and Producers
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To: koan who wrote (45823)7/27/2007 11:28:37 PM
From: E. Charters   of 78428
 
It is important to elicit the timeline associated with the fever.

Key questions to ask are:

• When was the surgery?
• What type of procedure was performed?
• Are there pre-existing or implanted prostheses involved?
• What and when was peri-operative antibiotic prophylaxis given?
• When did symptoms begin?
• Were any symptoms present prior to surgery?
• Were there any complications with the surgery, or a prolonged hospital stay?
• Does the patient have pre-existing medical conditions that could predispose to fever?
• Were there blood products given?

A thorough review of systems, including respiratory, genitourinary, gastrointestinal, neurologic, and cardiac is necessary. Physical examination should include the respiratory, cardiovascular, urinary, and gastrointestinal systems, as well as a thorough examination of the skin.

An examination of the peripheral or central sites that were used for vascular access is also important, as an infected hematoma or thrombophlebitic vein may be present.

Lastly, a thorough inspection of the wound site is imperative.

• Is there a fluctuant mass palpable?
• Is redness or heat present surrounding the incision?
• Is there a surrounding wound cellulitis that may or may not be well demarcated?
• Is pain present?
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