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General Surgery · Wound healing: dehiscence
Sample itemOn postoperative day 7 after laparotomy, a patient has a sudden gush of pink serosanguinous fluid from the incision. What complication is suggested?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Wound dehiscence
A sudden serosanguinous wound discharge several days after abdominal surgery can herald fascial dehiscence. The wound should be protected and urgently reviewed because evisceration may follow.
Option by option
A. Wound dehiscence (correct)
Correct. This is a classic warning sign of fascial separation.
B. Normal scar maturation
Normal scar maturation does not cause a sudden gush.
C. Keloid formation
Keloids develop over months, not as acute wound fluid loss.
D. Contact dermatitis only
Dermatitis causes itch and rash, not possible fascial failure.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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