Peritonitis Flashcards
1
Q
classification?
A
- primary
- secondary
- localised
- generalised
2
Q
describe primary
A
- rare
- cause unknown or per-vaginal (pneumococcus or streptococcus) - mainly gram negatives
3
Q
cause of secondary
A
- inflammation or perforation of an organ
- post-op complication
- iatrogenic
- anastomotic leak
- ischaemia
- haemoperitoneum
- trauma
4
Q
organisms mainly involved in secondary peritonitis
A
fungal & anaerobes
5
Q
symptoms?
A
- severe abdo pain aggravated by motion
- N&V
- hot & sweaty
- loss of appetite
6
Q
signs?
A
- fever
- tachycardia
- abdo tenderness
- guarding
- rebound
7
Q
Ix?
A
- Bloods
- FBC
- U&E
- LFTs
- Ascitic fluid culture
- Erect CXR
- air under diaphragm
- US, CT/MRI, contrast studies
8
Q
Mx?
A
- ABCDE
- Abx
