peritonitis .

Question 1

what is peritonitis

Answer 1

inflam of peritoneum

Question 2

what are the primary and descondary origins of perionitis

Answer 2

primary - no known
secondary - Bowel Perforation, Appendicitis

Question 3

describe etiology of peritonitis

Answer 3

• Bacterial, gastrointestinal and non-gastrointestinal
• Chemical, e.g. bile, barium
• Traumatic, e.g. operative handling
• Ischaemia, e.g. strangulated bowel, vascular occlusion
• familial mediterranean fever

Question 4

how is peritonitis managed

Answer 4

• Correction of Fluid Loss & Circulating Vol
• Antibiotics
• Urinary Catheterisation I Gastric Decompression
• Analgesics
• surgery - remove or divert cause

Question 5

how to investigate for peritonitis

Answer 5

-dipstic for UTI (differential diag)
-U&Es + Full blood count (WCC)
-Serum amylase (acute pancreatitis/ others like perf DU)

Question 6

what is norm peritonial fluid

Answer 6

50-75ml

Question 7

what are the classes of peritonitis

Answer 7

acute- bac infection
Chronic- TB

Question 8

what ate the paths to peritoneal infection

Answer 8

• gastrointest erforation (perf ulcer, appendix, diverticulum)
• transmural location
• exogenous contaminant (drains surgery etc)
• pelvic inflammatory disesaea
• haemogenouse spread (e.g septicemia)

Question 9

what are the clinical features of local peritonistis

Answer 9

• pain
• nausea/vom
• fever
• tachy
• local guarding
• rebound tenderness
• subphrenic shoulder tip pain
• tender rectal/vag exam

Question 10

what are clinical features of general peritonitis (early)

Answer 10

• abdo pain (worse brathing)
• tender
• general guardin
• infrequent boewel sounds
• fever
• tachy

Question 11

what are clinical features of general peritonitis (late)

Answer 11

• general rigid
• distention
• absent bowel sounds
• irculation failure
• thready irreg pulse
• lost consciousness