Peritonotis Flashcards
What is peritonitis
• Peritoneum is the name given to the ____________ of the ____________ cavity
epithelial lining
abdominal cavity
Types of peritonitis
• __________
• __________
• __________/Loculated
• __________/Disseminated
Primary
• Secondary
• Localized/Loculated
• Generalized/Disseminated
Abscess
• Collection of ______ within ______ or ______
pus
a cavity or space
What is Pus
•________/__________ Tissue
•___________ cells and ________
• ________
• ________ membrane
Dead/Damaged
Inflammatory; mediators
Exudate
Pyogenic
Pathophysiology of peritonitis
• __________ cascade
• +/- ________ formation
• _______
• __________
•____________
Inflammation
Abscess
Shock
Sepsis
MODS
Clinical features of peritonitis: History
•______
• Nausea
•________
•________
•_________
• Abdominal ________
• Trauma
Pain
Vomiting
Diarrhoea
Jaundice
swelling
Clinical features of peritonitis: Examination findings
General
•________ ill
•_———- hip and knee position
•________
• _________
• _____________
• ______pnoea • ______cardic
• ______tensive
Acutely
Flexed
Pale; febrile
Dehydrated
Tachy; Tachy; Hypo
Clinical features of peritonitis: Abdominal findings
• Reduced mobility with ________ efforts
•__________,______ like rigidity
• _________ on palpation
• ———-,———- sign
• Abdominal distention
• Penetration of the abdomen
respiratory
Guarding; board
Tenderness
Cullen, Grey Turner
Cullen sign (________________)
Grey Turner sign (_________________ )
periumbilical ecchymosis
flank ecchymosis
Differential diagnosis of peritonitis
• ___________ __________
•________________ events
Diabetic Ketoacidosis
Vaso-occlusive