Peritonitis Flashcards
1
Q
Causes
A
Primary- strep, us blood entry. Secondary- Perforated appendicitis Perforated diverticular disease Upper GI perforation eg ulcer Pancreatitis Peritoneal dialysis Post surgic interven
2
Q
Px
A
Anorexia Fever Sev gen abdo pain, rad to shoulders and back Worse with movem, cough, sneeze Fever Tachy Guarding Rigidity Mass
3
Q
Emergency mx
A
Catheter
Fluid
FBC, UE, CRP, amylase, GS
ABG if susp shocked or isch bowel or pancreatitis
4
Q
Ix
A
Neutrophilia High CRP High amylase CT, to excl pancreatitis Laparoscopy
5
Q
mx
A
IV AB- metronidazole and cefuroxime
Tx cause, us surgery except acute pancreatitis
