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Question

Which of the following is NOT a feature of Systemic Inflammatory Response Syndrome?

The correct answer is
Bradycardia

SIRS Criteria Overview

Systemic Inflammatory Response Syndrome (SIRS) is a widespread inflammatory condition. Diagnosis requires at least two of the following four criteria:

  • Temperature: Core body temperature > $38^\circ C$ (hyperthermia) OR < $36^\circ C$ (hypothermia).
  • Heart Rate: Rate > 90 beats per minute (tachycardia).
  • Respiratory Rate: Rate > 20 breaths per minute OR partial pressure of carbon dioxide ($P_aCO_2$) < 32 mmHg.
  • White Blood Cell (WBC) Count: WBC count > 12,000 cells/mm$^3$ OR < 4,000 cells/mm$^3$ OR > 10% immature forms (bands).

Analyzing SIRS Features

Let's evaluate the given options based on the SIRS criteria:

  • Hyperthermia (more than $38^\circ C$): This meets the temperature criterion for SIRS.
  • Hypothermia (less than $36^\circ C$): This also meets the temperature criterion for SIRS.
  • Leucocytosis: This signifies an elevated WBC count, which is a direct criterion for SIRS.
  • Bradycardia: This refers to a heart rate that is too slow (typically less than 60 beats per minute).

Identifying the NON-SIRS Feature

The SIRS criterion related to heart rate is tachycardia (a rate > 90 beats per minute). Bradycardia, a slow heart rate, is the opposite and is therefore NOT a feature or diagnostic criterion of SIRS.

Thus, Bradycardia is the correct answer as it is not a feature of SIRS.

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Important Questions from Common Surgical Conditions & Treatment

  1. In Split thickness graft, which part of the skin is/are included?
  2. Which of the following is NOT a classical symptom of acute appendi- citis?
  3. Which one of the following is the most important selection criteria for obesity surgery ?

  4. Which of the following factors is labelled as cytokine in the pathogenesis of Systemic  Inflammatory Response Syndrome (SIRS)?

  5. Which one of the following regarding abdominal paediatric surgery is correct?
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