Peritonitis Flashcards
1
Q
What is SBP?
A
Spontaneous bacterial peritonitis
2
Q
In who is SBP most commonly seen in?
A
Pts. with:
Cirrhosis
End-stage liver disease
3
Q
What are the symptoms of SBP?
A
abdominal pain, fever, vomiting, altered mental status, and gastrointestinal bleeding
BUT
Pts. commonly minimally or asympto
4
Q
How is SBP diagnosed?
A
Paracentesis: neutrophil count > 250 cells/ul
Presence of E. coli in fluid culture
5
Q
What is paracentesis?
A
procedure that removes fluid (peritoneal fluid) from the abdomen through a slender needle
6
Q
What is the management of SBP?
A
IV Cefotaxime
7
Q
When should AB prophylaxis be given?
A
Pts. with ascites who
- have had an epsiode of SBP
- fluid protein <15 g/l and either Child-Pugh score of at least 9 or hepatorenal syndrome
8
Q
What can cause peritonitis?
A
Burst stomach ulcer Burst appendix Crohn's or diverticulitis Pancreatitis Cirrhosis Infection as a result of peritoneal dialysis equipment
