Spontaneous Bacterial Peritonitis

Question 1

Aetiology?

Answer 1

• rupture of another organ
• ascension from female genital tract
• haematogenous spread
• direct penetration of abdominal wall

Question 2

symptoms + signs?

Answer 2

• abdo pain
• fever
• rigors
• sepsis
• tachycardia

Question 3

Investigaitions?

Answer 3

• ascitic tap –> send fluid for MC&S
• Bloods

Question 4

Test findings?

Answer 4

• elevated WCC (neutrophils), CRP, ESR

Question 5

Management?

Answer 5

• IV antibiotics
• ascitic drainage