PERITONITELE ACUT

Question 1

PERITONITA SECUNDAR DIFUZE

CAUZE INTERNE/EXTERNE/IATROGENE

Answer 1

INTERNE: TRAUMATISM ABD CU RUPTURI DE ORGAN
PLAGI PENETRANTE

INTERNE: GANGREANA APENDICULARA
VB PERFORANTA
ULCER G-D
INFECTII GENITALE LA FEMEI
TUMORI MALIGNE PERFORATE
DIVERTICULITA ACUT PERFORATA
IATROGENE: 
ABD ACUT

Question 2

CLINICA PERIT 2ND DIFUZE

Answer 2

1.DURERE ABD DEBUTATE IN PLINE STARE DE SANATATE, BRUTALA
CARE INCEPE DE LA EPIGASTRU( NE ORIENTA)
DURERE DE TIP SOMATIC
2. VARSATURILE, DE REFLEX APOI DE STAZA
3. FEBRA SI FRISON

Question 3

DD PERIT 2ND DIFUZA

Answer 3

BOLI FEBRILA
HERPES ZOSTER
PANCREATITA ACUTA
COLECISTITA CUTA
SALPINGITA ACUT
IMA POSTERO-INF
IEM

Question 4

Semne indirecte de peritonita postop

Answer 4

Lipsa reluarii transit
Dispnee, polipne - > tulb respirator
Aparita oliganurie

Question 5

Tratment PERITONITA GENERALIZATA

Answer 5

A) REANIMAER REOP

B) INTERVENTIE CHIRURGICALA

Question 6

PERITONITELE SECUNDARE LOCALIZATE

Answer 6

Sunt collectii purulente localizate intro zone a cavitatii peritoneala

Caracterizate prin aparitia abcese

1) pelvine
2) subfrenice
3) mezocolice

Question 7

Abcese pelvine clinic

Answer 7

Sx asemanatoare (durere + varsaturile + febra frison)
TR = bombarea dureroasa a fund de sac douglas 
La punctie = purulent

Question 8

Abcese subfrenice clinic

Answer 8

==
Durere in umarul sau supraclavicular dr
Tuse seaca
Dispnee
Varsaturi, intoleranta alimentara

Question 9

Abcese submezocolice clinica

Answer 9

Semne de iritatie peritoneala (daca abces vine in contact cu peritoneul parietal)
Tulb de tranzit -meteorism abd difuz

Question 10

Peritonitele acute primitive

Answer 10

Def: sunt infectii mono ale cavitatii peritoneala in care contaminare se face de la o sursa situata la o distanta de peritoneu
(Fara perforati, cauza septica)

Cai de contaminare:

• genitala ascendenta (vagin, uter, trompe)
• hematogena (sange, limfatice, transmurala)