intraabdominal infections

Question 1

where do intraabdominal infections take place

Answer 1

peritoneal cavity or

retroperitoneal space

Question 2

what are the 2 biliary tract infections

Answer 2

cholecystitis

cholangitis

Question 3

what is an acute inflammation of the gallbladder

Answer 3

acute cholecystitis

Question 4

what usually causes acute cholecystitis

Answer 4

gallstones

Question 5

what is acute inflammation of the bile duct

Answer 5

acute cholangitis

Question 6

what usually causes acute cholangitis

Answer 6

bile duct stones (choledocholithiasis

Question 7

what is charcot’s triad

Answer 7

1 fever

2. jaundice
3. right upper quadrant pain

Question 8

what does charcots triad indicate

Answer 8

cholangitis

Question 9

what does a positive murphys sign indicated

Answer 9

cholecystitis

Question 10

what are the most likely organisms that cause biliary tract infections

Answer 10

gram neg. rods

1. e. coli
2. klebsoe;;a
3. enterobacter

Question 11

what are the supportive measures for biliary tract infections

Answer 11

1. fluids
2. electrolytes
3. pain meds
4. antibiotics

Question 12

what is treatment for community acquired acute cholecystitis (mild to moderate)

Answer 12

cefazolin
cefuroxime 
or
ceftriaxone
-always monotherapy

Question 13

what is recommended for monotherapy treatment of community acquired acute cholecystitis in elderly or immunocompromised state

Answer 13

imipenem-cilastatin
meropenem
doripenem
or
piperacillin-tazobactam

Question 14

what is recommended for dual therapy treatment of community acquired acute cholecystitis in elderly or immunocompromised state

Answer 14

ciprofloxacin, levofloxacin or cefepime
plus
metronidazole

Question 15

what is the monotherapy treatment options for acute cholangitis

Answer 15

imipenem-cilastatin
meropenem
doripenem
or
piperacillin-tazobactam

Question 16

what is the dual therapy treatment options for acute cholangitis

Answer 16

ciprofloxacin, levofloxacin or cefepime
plus
metronidazole

Question 17

what are 2 extra biliary infections

Answer 17

peritonitis

intraabdominal abscess

Question 18

what is anm acute inflammatory response of the peritoneal lining to microorganisms

Answer 18

peritonitis

Question 19

what is a purulent collection of fluid containing necrotic debris, and bacteria

Answer 19

intraabdominal abscess

Question 20

what form of peritonitis is due to contamination of peritoneum with GI microorganisms

Answer 20

secondary peritonitis

Question 21

what type of infection is likely for someon who has had appendicitis, perforated ulcer, or abdominal trauma

Answer 21

secondary peritonitis

Question 22

what are the usual organisms that cause community acquired extra-biliary infections

Answer 22

e. coli
klebsiella
streptococcus
bacteroides

Question 23

what is duration of therapy for extra biliary infections

Answer 23

usually 4-7 days

Question 24

how are community acquired extra biliary infections treated with monotherapy

Answer 24

1. cefoxitin
2. ertapenem
3. moxifloxacin
4. tigecycline
5. ticarcillin-clavulanic acid

Question 25

how are community acquired extra biliary infections treated with dual therapy

Answer 25

cefazolin, cefuroxime, ceftriaxone, ciprofloxacin, levofloxacin
plus
metronidazole