AOR disease (SA) Flashcards
two common complications to see alongside GDV
splenic torsion
ventricular tachycardia (give lidocaine)
causes of septic peritonitis
GI perforation
Bactaeremia
UTI and urinary ascension
Penetrating injuries
causes of aseptic peritonitis
Inflammatory abdominal disease
gi perforation
Signs of a septic peritonitis on fluid tap
Glucose lower than blood
Lactate higher than blood
how to tell if fluid is haemoabdomen
PCV
PCV same as blood = acute
PCV higher than blood = semi-acute
3 causes of ahemoabdomen and how to manage
Neoplastic bleed: Measure lactate and BP to asses perfusion
Trauma: Often RTA. IVFT, whole blood, tranexamic acid
Coagulopathy: FFP
Signs of uroabdomen on tap
High creatinine (double that of blood), urea and potassium
Complication of uroandomen
K reabsorbed = hyperkalameia = Brady dysrhythymia
Tx of uroabdomen
Catheterise and surgical repair
Give bicarb and Hartmanns to move K into cells
Ascites: Transudate (PP)
Cytology
Cause
Dx
Low protein, low TNCC
Due yo hypoalbuminae
From liver disease, PLE, PLN
Dx: Biochem
Ascites: Modified transudate
Cytology
Cause
Dx
High protein, moderate TNCC, yellow and turbid
Due to increased hydrostatic pressure => causes a protein leak
CV disease (right sided failure), thrombosis, neoplasia, chronic liver disease causing portal hypertension
Dx: Imagine
Ascites: Septic exudate
Cytology
Cause
Dx
Aka pyothorax
High TNCC, high protein, turbid
Penetrating wound, surgical complication, ruptured infected lesion
Dx: Abdomincenteis and cytology
Ascites: Non-septic exudate
Cytology
Cause
Dx
High TNCC, high protein, opaque
Neoplasia, FIP, uroabdomen
Dx: abdomincentiwis and cytology
What are the other effusions
Chyle and blood
Pathogens of FIP
Viraemia => infects moncytes/macropahges => react with endothelial cells => breakdown of junctions => fluid leak => effusions