Question:
What is the usual time of occurrence of secondary hemorrhage after tonsillectomy?
What is the usual time of occurrence of secondary hemorrhage after tonsillectomy?
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Secondary bleed equals slough separation plus infection, classically around the 6th day.
Updated On: Jun 24, 2026
- 24 hours
- 12 hours
- 6 days
- 12 days
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The Correct Option is C
Solution and Explanation
Step 1: Classify post tonsillectomy bleeding. There are two types. Primary (reactionary) hemorrhage occurs within the first 24 hours, usually due to slipped ligature or inadequate haemostasis. Secondary hemorrhage occurs later.
Step 2: Time the secondary bleed. Secondary hemorrhage typically occurs between the 5th and 10th post operative day, most commonly around the 6th day.
Step 3: Explain the mechanism. It results from sloughing of the membrane (white slough) over the tonsillar fossa, often precipitated by local infection that erodes a vessel.
Step 4: Match to the options. Among the choices, 6 days falls squarely within the 5th to 10th day window, whereas 24 hours and 12 hours describe primary or reactionary bleeding, and 12 days is later than the typical secondary window.
Step 5: Conclusion. The correct answer is 6 days, option 3.
Step 2: Time the secondary bleed. Secondary hemorrhage typically occurs between the 5th and 10th post operative day, most commonly around the 6th day.
Step 3: Explain the mechanism. It results from sloughing of the membrane (white slough) over the tonsillar fossa, often precipitated by local infection that erodes a vessel.
Step 4: Match to the options. Among the choices, 6 days falls squarely within the 5th to 10th day window, whereas 24 hours and 12 hours describe primary or reactionary bleeding, and 12 days is later than the typical secondary window.
Step 5: Conclusion. The correct answer is 6 days, option 3.
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