Peritonitis

Question 1

What are the causes of peritonitis?

Answer 1

Infection- perforation of GI tract, disruption of peritoneum, spontaneous bacterial peritonitis
Non-infectious- leakage of sterile body fluids, sterile abdominal surgery

Question 2

What are the features of peritonitis?

Answer 2

Severe abdo pain- worse on movement, going over bumps
Abdo rididity
Rebound tenderness
Fever

Question 3

What is the management of peritonitis?

Answer 3

IV antibiotics

Laparotomy

Question 4

What is spontaneous bacterial peritonitis?

Answer 4

Infection of ascitic fluid that cannot be attributed to any other cause

Question 5

Who gets spontaneous bacterial peritonitis?

Answer 5

Those with ascites

Question 6

What is the most common causative organism of SBP>

Answer 6

E. coli

Question 7

What are the features of SBP?

Answer 7

Abdo pain, rebound tenderness
Fever
N&V, diarrhoea

Question 8

What investigations ar done for SBP?

Answer 8

Paracentesis- neutrophils >250

Question 9

What is the management of SBP?

Answer 9

Antibiotics- ciprofloxacin

Large vlume paracentesis

Question 10

When is SBP prevented?

Answer 10

Ascites with protein <15= give preventative ciprofloxacin