In a pediatric patient with an upper respiratory tract infection presenting for
elective hernia repair, which of the following symptoms should most likely result
in case postponement:
a) Rectal temperature of 37.8 degrees Celsius
b) Cough productive of yellow-green sputum
c) History of treatment with a 7-day antibiotic course and resolution of symptoms
d) Rhinorrhea (clear fluid)
e) Dry cough
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Answer
Answer b.
Several symptoms are considered relative contraindications to proceed
with elective surgery in a child with symptoms of an upper respiratory tract
infection, including: temperature greater than 38.5 degrees Celsius, toxic or illappearance,
active wheezing, or signs of a lower respiratory tract infection, such
as a cough productive of yellow-green sputum.
Notes
- This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.
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