pharmdeck_review · October 24, 2026
Posting here bc my study partner and I were debating postoperative fever timeline and ward complications for 30 mins after rounds today. When a question brings up wind/water/walking/wound/wonder drugs timeline: POD 1-2 atelectasis, POD 3-5 UTI/pneumonia, POD 5+ DVT/PE or wound abscess and early necrotizing surgical site infection (Group A Strep or Clostridium within 24-48h) needing immediate surgical debridement, what is your first move?
We both noticed how easy it is to get tricked by treating POD 1 low-grade fever w/ broad-spectrum vancomycin instead of incentive spirometry and mobilization when you are rushing at the end of a block.
Context: currently during sub-I night float downtime squeezing in 15 qs between pages.
clerkship_coffee · October 25, 2026
I had the exact same issue w/ postoperative fever timeline and ward complications when I was during sub-I night float downtime. What finally fixed it for me is examining the surgical incision and chest/calves before ordering a pan-scan on POD 2 fever.
Whenever you see wind/water/walking/wound/wonder drugs timeline: POD 1-2 atelectasis, POD 3-5 UTI/pneumonia, POD 5+ DVT/PE or wound abscess in the stem, pause for two seconds and look specifically for early necrotizing surgical site infection (Group A Strep or Clostridium within 24-48h) needing immediate surgical debridement before peeking at the answer choices. That way treating POD 1 low-grade fever w/ broad-spectrum vancomycin instead of incentive spirometry and mobilization cannot bait you squeezing in 15 qs between pages. Once I started doing that on every block, postoperative fever timeline and ward complications went from my worst section to basically free points.
steptwo_pathway · October 26, 2026
My senior resident taught me examining the surgical incision and chest/calves before ordering a pan-scan on POD 2 fever on rounds last month and I swear every postoperative fever timeline and ward complications question on early necrotizing surgical site infection (Group A Strep or Clostridium within 24-48h) needing immediate surgical debridement during sub-I night float downtime squeezing in 15 qs between pages felt 10x easier after that.
steptwo_scrubs · October 27, 2026
100% agree w/ the first reply on postoperative fever timeline and ward complications. Doing examining the surgical incision and chest/calves before ordering a pan-scan on POD 2 fever when I was during sub-I night float downtime squeezing in 15 qs between pages saved me at least 3-4 points on my next form, especially on stems testing wind/water/walking/wound/wonder drugs timeline: POD 1-2 atelectasis, POD 3-5 UTI/pneumonia, POD 5+ DVT/PE or wound abscess.
endo_focus · October 27, 2026
One extra clinical pearl for postoperative fever timeline and ward complications: whenever they mention early necrotizing surgical site infection (Group A Strep or Clostridium within 24-48h) needing immediate surgical debridement during sub-I night float downtime, always double check the vitals and timeline bc treating POD 1 low-grade fever w/ broad-spectrum vancomycin instead of incentive spirometry and mobilization is their favorite way to trick people squeezing in 15 qs between pages.