Abdominal Abscess

Question 1

Transverse mesocyclone

Answer 1

Divided by upper and lower peritoneal cavities

Question 2

Pancreas, duodenum, ascending and descending colon

Answer 2

Anterior

Question 3

Retroperitoneal

Answer 3

Kidneys, ureters, and rentals

Question 4

Peritoneal cavity

Answer 4

Liver, stomach,gallbladder, spleen, jejunum, ileum, transverse and sigmoid colon, caecum, appendix

Question 5

Protein content

Answer 5

Malbumin of 30 grams/litre

Less than 300 wbc per microliter

Question 6

Serum crea of 1mg/dl
bUN levels more than 30
Total bilirubin levels of >4mg/dl

Answer 6

Treat with albumin (1.5 g/kg of body weight within 6 hours of detection and 1.0kg on day 3

Question 7

Antibiotic treatment for PSP

Answer 7

Cefotaxime 2 grams q8
Piptazobactam 3.375q6
Ceftriaxone 2grams q24

Question 8

Chronic antibiotic for critically ill patient

Answer 8

Ascetic-fluid total protein level <1.5 g/dl along with impaired renal function crea >1.2mg/dl
BUN more than 25mg/dl
Serum sodium <130mg/dl and liver failure child Pugh score more than 9
Bilirubin 3mg/dl

Only seven day course of antibiotic prophylaxis for cirrhosis with bleeding

Question 9

Secondary prevention to SBP

Answer 9

For patient with normal crea
Ciprofloxacin 500mg weekly
Norfloxacin 400mg/d
Trimethoprim-sulfamethoxazole one double strength daily

Question 10

Treatment for secondary peritonitis

Answer 10

Penicillin/b lactamase inhibitor 3.1 grams q4-6IV, piptazobactam 3.375 grams q6 or combination with flouroquinolone levofloxacon q24 or 3rd chalophorin ceftriaxone 2 grams q24 plus metronidazole 500mg q8

For pseudomonas
Meropenem 500q6, 1gram q8, piptazobactam 4.5q6 or drug combi
Cefepime 2 grams q8 or ceftazidime 2 grams q8 plus metronidazole

Question 11

CAPd

Answer 11

With set infection. 21

For patient without 14