IV Notes 💉

شوية ريفيوهات سريعة لإجابات الأسئلة اللي نزلت امبارح 👇

Mr. Omar 45y male with free past medical history presents with fever (38.7) on the 4th postoperative day following an uncomplicated laparoscopic appendectomy performed for acute appendicitis. Associated symptoms: mild right lower quadrant abdominal discomfort, malaise, and decreased appetite. Denies cough, dysuria, chest pain, or calf swelling. No rigors or chills. Examination Findings General: Alert, mildly ill, febrile (38.7), pulse 98 , BP 118/72 , RR 18. Surgical site: Slight erythema and tenderness at the umbilical port site, minimal serous discharge. No purulent drainage. Chest: Clear vesicular breath sounds bilaterally. Abdomen: Mild tenderness in right iliac fossa, no rebound, no guarding. Legs: No edema or tenderness. WBC count 13,200 CRP 62 Urinalysis Normal Chest X-ray Normal Ultrasound abdomen Small localized collection (2×3 cm) near appendectomy site Progress After 48 hours of antibiotic therapy, the patient became afebrile.

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