Peritonitis And Obstruction Flashcards
1
Q
Differentials for peritonitis
A
Perforation of GI/biliary tract
Female genital tract
Penetration of abdominal wall
Haematogenous spread
2
Q
What causes peritonisation?
A
Failure of localisation
Contamination=too rapid
Contamination persists
Abscess ruptures
3
Q
S+S of internal obstruction
A
Pain Vomiting Distension Constipation Borborygmi (stomach rumble)
4
Q
How is visceral pain localised?
A
Afferent impulses
Poorly localised
5
Q
How is pain in the parietal peritoneum localised?
A
Well
6
Q
Effects of peronitis and obstruction
A
Fluid loss and sepsis>circulatory collapse>death
7
Q
Tx for acute abdomen
A
Restore circulating fluid Ensure tissue perfusion Enhance tissue oxygenation Treat sepsis Decompress gut Ensure adequate relief
8
Q
Ix for acute abdomen
A
Urine FBC U and E LFT Radiology Laparoscopy/laparotomy
