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peritonitis Flashcards

1
Q

what is peritonitis?

A

inflammation of the peritoneal cavity

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2
Q

what is the T5-T9 area called?

A

epigastric

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3
Q

what is in the T5-T9 area?

A

greater splanchnic nerve
foregut

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4
Q

what is the T10-T11 are called?

A

umbilical

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5
Q

what is in the T10-T11 area?

A

lesser splanchnic nerve
midgut

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6
Q

what is the T12 area called?

A

hypogastric

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7
Q

what is in the T12 area?

A

lesser splanchnic nerve
hindgut

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8
Q

what are the causes of peritonitis?

A

primary- ascites
spontaneous bacterial peritonitis

secondary- underlying cause
- bile
-malignancy

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9
Q

what are the bacterial causes of peritonitis?

A

gram negative- E- coli and klebsiella
gram positive- staph aureus

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10
Q

what are the chemical causes of peritonitis?

A
  • bile
    -old clotted blood
    -ruptured ectopic pregnancy
  • intestinal perforation
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11
Q

what are the risk factors for peritonitis?

A
  • liver disease
  • cirrhosis
    -ascites
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12
Q

what is the treatment for peritonitis?

A
  1. ABCDE
  2. Iv fluid and IV Abx
  3. paracentesis
  4. surgery
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13
Q

describe the pathology of SBP

A
  1. bacteria from gut
  2. to lymph nodes
  3. to blood stream
  4. to ascitic fluid
  5. SBP
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14
Q

What is a complication of SBP?

A

septicemia

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15
Q

what are the symptoms of peritonitis?

A
  • sudden onset of severe abdo pain- then collapse + septic shock, fever
  • rigidity helps pain- guarding
  • ascites
  • Nausea and vomiting
    -diarrhoea
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16
Q

what are the symptoms of poorly localised peritonitis?

A

inflammation presses only viscerally- poorer sensation of pain

17
Q

what are the symptoms of well localised peritonitis?

A
  • more inflamed
    -more pressing on parietal
    -better localised sensation
18
Q

how is peritonitis diagnosed?

A
  1. Ascitic tap- shows neutrophilia
  2. cultures- shows causative organism
  3. High ESR and HIGH CRP
  4. exclude pregnancy
  5. chest x ray- shows air under diaphragm

Liver (21 decks)

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