Snapshot A 42-year-old male underwent a Heller myotomy with subsequent Toupet partial fundoplication via a laparoscopy. The surgery was uneventful, and the patient is doing well on the floor. However, on the third post-operative day, the nurse has noted the patient has a fever or 101.5°F. The patient has been using his incentive spirometer as instructed. Vital signs are only significant for the fever. Labs show a WBC count of 12,300/mm3. Heart and lungs are clear to auscultation, and the surgical port sites are clean, dry, and intact. Abdomen is soft and nontender. There is mild suprapubic discomfort. Urinalysis shows a bacterial count >100,000 cfu/mL and a WBC of 11 cells/microL. The appropriate antibiotic therapy and catheter management was initiated. Introduction Fever > 100.4°F (38°C) login to view 3 more bullets In most cases, post-operative fever self resolves without treatment login to view 1 more bullet Pathophysiology Stimuli → cytokine release → development of fever login to view 6 more bullets Presentation and Management Possible cause of fever based on post-operative days (POD) "Wind, Water, Walking, Wound, Weird" login to view 2 more bullets