🏥 USMLE Exam Prep

A 62-year-old male undergoes an elective open cholecystectomy. Twelve hours post-operatively, his temperature is 100.8°F (38.2°C). His lung sounds are diminished at the bases, and he has a non-productive cough. Surgical site appears clean and dry. What is the most likely cause of his fever?

A Surgical site infection.
B Deep vein thrombosis (DVT).
C Atelectasis.
D Urinary tract infection (UTI).

✓ Correct Answer: Option C

Atelectasis is a common cause of fever in the first 24-48 hours post-surgery, often presenting with low-grade fever, diminished breath sounds, and a non-productive cough due to inadequate lung expansion. Infections typically present later.

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