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Post-Op: atelectasis,
pneumonia, UTI (? change Foley), phlebitis, CVP sepsis, wound
infection, drug reaction, transfusion reaction, intraabdominal
abcess, malignant hyperthermia, aspiration; Also:
meningitis, sinusitis, cholecystitis (?acalculous with critical
patients), infectious endocarditis, diverticulitis, peritonitis,
cholangitis, perirectal abcess, septic arthritis, pulmonary embolus,
DVT, cellulitis, pyelonephritis, PID, AP, neoplasm (leukemia,
lymphoma, renal cell, hepatoma...), connective tissue diseases
(SLE, RA, temporal arteritis...); Immunocompromised (fungal, viral,
parasitic, bacterial, mycobacterial sources, HIV+, AIDS), thyroid
storm, medications (antibiotics - penicillin, cephalosporins,
procainamide, phenytoin...), hematoma, dead tissue, dental abscess
Work-Up: WBC with
diff, Blood Cx x 2, CXR, U/A + C/S, ?phlebitis. ?CVP sepsis, evaluate
wounds and medications, ?LP, ?CT, culture and gram stain potential
sources (sputum…), check all cultures and sensitives, ?sub-therapeutic
Abx, consider fungal infection if receiving broad spectrum Abx,
2-D Cardiac ECHO, VQ scan, lower extremity venous dopplers, TFTs
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