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Liver + GI > Peritonitis > Flashcards

Flashcards in Peritonitis Deck (8)
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1

localised

occurs with all acute inflammatory conditions of GI tract

2

Mx localised

depends on the underling condition e.g. acute appendicitis, acute cholecystitis

3

Gerenalised

occurs due to rupture of an abd viscus e.g. perforated duodenal ulcer, perforated appendix

4

Presentation of generalised

sudden onset of abd pain which rapidly becomes generalised

pt is shocked and lies still as movement exacerbates the pain

5

Dx generalised peritonitis

plain AXR may show air under the diaphragm

serum amylase: to exclude acute pancreatitis

6

Classification

onset: acute (most peritonitis)/chronic

source/origin: primary or secondary

cause: bacterial or chemical

location: localised or generalised

7

what would absolute neutrophil count >250 cell/mm be?

SBP!!!

8

Tx

resuscitate
ABC, antibiotics

treat the cause if primary peritonitis

surgical Tx: repair of perforated viscus - peptic ulcer