Secondary Peritonitis pg 2263

Question 1

what is primary peritonitis?

Answer 1

inflammation of the peritoneal surface without another intra abdominal process. also known as Spontaneous Bacterial Peritonitis.

Question 2

SBP is less common, and is usually associated with what disease?

Answer 2

ascites

Question 3

what is secondary peritonitis?

Answer 3

inflammation of another intra abdominal structure or in associate with another intra abdominal disease process.

Question 4

what is another name for diffuse peritonitis?

Answer 4

commonly referred to as “acute abdomen” and “surgical abdomen”

Question 5

most common causes of acute peritonitis?

Answer 5

perforated appendicitis
perforated diverticulitis
pancreatitis

Question 6

patient presentation of secondary peritonitis

Answer 6

very ill appearing
unstable vital signs (fever and tachy, hypotension in severe cases)

fetal position or supine with legs bent
do NOT want to move
may be no bowel sounds with auscultation

Question 7

labs with peritonitis

Answer 7

cbc + diff (leukocytosis with increased neutrophils)
UA
Blood culture
HCG beta for females

Question 8

radiology for peritonitis

Answer 8

upright x ray
abdominal CT scan

Question 9

management and treatment of peritonitis

Answer 9

antibiotics (entrapenem 1 g IV )
two large bore IV’s
Fluids and NPO
Morphine for pain control

MEDEVAC