Abdo infection

Question 1

2 types of abdominal infection

Answer 1

peritonitis

abscess

Question 2

What is the source of secondary peritonitis

Answer 2

• gut!

Question 3

ways in which bacteria can leak out of the gut

Answer 3

cancer
inflammation
injury
ulcer

Question 4

example of visceral abscess

Answer 4

liver

Question 5

A diagnosis of generalized peritonitis mandates urgent abdo operation except (2)

Answer 5

1. acute pancreatitis, ruptured AA, primary peritonitis
2. Perforated duodenal ulcer
   colonoscopic perforation

Question 6

Prognosis in secondary peritonitis

Answer 6

• 20-30% die

Question 7

Survivors of secondary peritonitis have complications which include

Answer 7

renal failure
ARDS/pulmonary complications/pneumothorax/
psychological devastation

Question 8

2 features that make you suspect abdominal infection

Answer 8

Hypothermia

Free air

Question 9

4 risk factors for peritonitis

Answer 9

• Post op
• Old
• Immune suppressed
• reduced CNS function

Question 10

untreated abdo infection can lead to

Answer 10

Multiple organ dysfunction

Question 11

abdo wall challenges

Answer 11

• weak tissue
• bowel edema
• ## contamination

Question 12

residual abdo wall problems

Answer 12

• fistula
  skin and fascia infections
  hernia

Question 13

Line infections can be due to

Answer 13

Staph aureus

Question 14

Abx for abdo infection should target which bacteria

Answer 14

B. fragilis and E coli