Peritonitis Flashcards

1
Q

What is peritonitis?

A

Inflammation of the localized or generalize peritoneum

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2
Q

When someone refers to peritonitis, they are usually referring to what?

A

Secondary peritonitis

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3
Q

What is primary peritonitis?

A

Inflammation of peritoneal surface w/o another intra-abdominal process

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4
Q

What is primary peritonitis also called?

A

Spontaneous Bacterial Peritonitis

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5
Q

What is secondary peritonitis?

A

Inflammation of another intra-abdominal structure or in association with another intra-abdominal disease process

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6
Q

What lines intra-abdominal organ?

A

Visceral peritoneum

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7
Q

What lines the interior portion of the abdominal wall?

A

Parietal peritoneum

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8
Q

What are some causes of secondary peritonitis?

A

Bacterial infection (sepsis)
Trauma, post surgical infection
Appendicitis
Perforation of GI tract

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9
Q

Localized peritonitis may be?

A

Appendicitis

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10
Q

Diffuse peritonitis may be?

A

Perforation of GI tract
Aka “acute abdomen” or “surgical abdomen”

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11
Q

What are most common causes of peritonitis?

A

Perforated appendicitis
Perforated diverticulitis
Pancreatitis

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12
Q

In female patients, always assess what?

A

Pregnancy or ectopic pregnancy
PUPO: Pregnant until proven otherwise

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13
Q

How will patients with secondary peritonitis present?

A

Very ill appearing
Unstable vitals

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14
Q

What position will patients with secondary peritonitis prefer to be in?

A

Fetal position or supine with legs bent
Will not want to move

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15
Q

What will percussion of a patient with secondary peritonitis sound like?

A

Dullness over liver suggests free air/perforation

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