Peritonitis: Diagnostic Test

Question 1

Diagnostic Test

Answer 1

1. Elevated WBC: 11,000mm³
2. Low Hgb and Hct
3. Altered electrolytes: K, Na, Cl
4. Abd x-ray may show free air and fluid in the peritoneum and distended loops
5. CT scan or UTZ - changes in abd organs
6. MRI shows intra-abd abscess

Question 2

Peritoneal lavage

Answer 2

WBC: 500/ml
RBC: 50,000/ml
Gram stain: (+) bacteria
Culture reveals:

E. coli
Klebsiella
Proteus
Pseudomonas

Question 3

Peritoneal lavage:

WBC:
RBC:
Gram stain:
Culture reveals:

Answer 3

WBC: 500/ml
RBC: 50,000/ml
Gram stain: (+) bacteria
Culture reveals:

E. coli
Klebsiella
Proteus
Pseudomonas