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PeritonitisPeritonitis2233PeritonitisInfection,orrarelysomeothertypeofinflammation,oftheperitoneum.Peritoneumisamembranethatcoversthesurfaceofboththeorgansthatlieintheabdominalcavityandtheinnersurfaceoftheabdominalcavityitself.4PeritonitisInfection,orrarelClinicalManifestationsEarlyordiffuseinfectionresultsinlocalizedorgeneralizedperitonitis.Lateandlocalizedinfectionsproducesanintra-abdominalabscess.5ClinicalManifestationsEarlyo2MajorTypesPrimary:ThespreadofaninfectionPeoplewhohaveanaccumulationoffluidintheirabdomens(ascites).Thefluidthataccumulatescreatesagoodenvironmentforthegrowthofbacteria.62MajorTypesPrimary:62MajorTypesSecondary:TheentryofbacteriaorenzymesintotheperitoneumUlcer,appendixoraruptureddiverticulum.Anintestinetoburstorinjury.72MajorTypesSecondary:7Attention!Bothcasesareveryserious&canbelifethreateningifnottreatedproperly!!!8Attention!BothcasesareveryHollowOrgansHolloworgansaremoresusceptibletoathleticinjurywhentheyarefullofwaste&foodproducts.Injurytoaholloworganmaysosignsof:blacktarrystoolbrightredbloodinthefecaldischargebloodyvomitus9HollowOrgansHolloworgansareSigns&SymptomsBreathing&HeartRatesShallowBreathsLowBPLimitedUrineProductionInabilitytopassgasorfecesSwelling&tendernessintheabdomenFever&ChillsLossofAppetiteNausea&Vomiting10Signs&SymptomsBreathing&HeSymptomsAnacutelyillpatienttendstolie“very”stillbecauseanymovementcausesexcruciatingpain.Theywillliewiththerekneesbenttodecreasestrainonthetenderperitoneum.11SymptomsAnacutelyillpatientExam&EvaluationFeel&presstheabdomentodetectanyswelling&tendernessintheareaaswellassignsoffluidhascollectedinthearea.Listentothebowelsounds&checkfordifficultybreathing,lowbloodpressure&signsofdehydration.12Exam&EvaluationFeel&pressEvaluationTheusualsoundsmadebytheactiveintestineandheardduringexaminationwithastethoscopewillbeabsent,becausetheintestineusuallystopsfunctioning.TheabdommayberigidandboardlikeAccumulationsoffluidwillbenotableinprimaryduetoascites.13EvaluationTheusualsoundsmadExamsBloodTestSamplesoffluidfromtheabdomenCTScanChestX-raysPeritoneallavage.14ExamsBloodTest14TreatmentApproachHospitalizationiscommon.Surgeryisoftennecessarytoremovethesourceofinfection.Antibioticsareprescribedtocontroltheinfection&intravenoustherapy(IV)isusedtorestorehydration.15TreatmentApproachHospitalizatTreatmentApproachMorphineforpain.Dietarysupplements(omega3,omega6fattyacids,vitaminA,E,C,andzinc)16TreatmentApproachMorphineforPrognosisUntreatedperitonitisispoor,usuallyresultingindeath.WithTx,prognosisisvariable,dependentontheunderlyingcauses.17PrognosisUntreatedperitonitisPreventiveCareThereis“NOWAY”topreventperitonitis,sincethediseasesitaccompaniesareusuallynotunderthevoluntarycontrolofanindividual.However,thebestwaytopreventseriouscomplicationsistoseekmedicalattentionassoonassymptomsappear.18PreventiveCareThereis“NOWAThisoccursinacutepancreatitis

19ThisoccursinacutepancreatiThankyou20Thankyou20PeritonitisPeritonitis222233PeritonitisInfection,orrarelysomeothertypeofinflammation,oftheperitoneum.Peritoneumisamembranethatcoversthesurfaceofboththeorgansthatlieintheabdominalcavityandtheinnersurfaceoftheabdominalcavityitself.24PeritonitisInfection,orrarelClinicalManifestationsEarlyordiffuseinfectionresultsinlocalizedorgeneralizedperitonitis.Lateandlocalizedinfectionsproducesanintra-abdominalabscess.25ClinicalManifestationsEarlyo2MajorTypesPrimary:ThespreadofaninfectionPeoplewhohaveanaccumulationoffluidintheirabdomens(ascites).Thefluidthataccumulatescreatesagoodenvironmentforthegrowthofbacteria.262MajorTypesPrimary:62MajorTypesSecondary:TheentryofbacteriaorenzymesintotheperitoneumUlcer,appendixoraruptureddiverticulum.Anintestinetoburstorinjury.272MajorTypesSecondary:7Attention!Bothcasesareveryserious&canbelifethreateningifnottreatedproperly!!!28Attention!BothcasesareveryHollowOrgansHolloworgansaremoresusceptibletoathleticinjurywhentheyarefullofwaste&foodproducts.Injurytoaholloworganmaysosignsof:blacktarrystoolbrightredbloodinthefecaldischargebloodyvomitus29HollowOrgansHolloworgansareSigns&SymptomsBreathing&HeartRatesShallowBreathsLowBPLimitedUrineProductionInabilitytopassgasorfecesSwelling&tendernessintheabdomenFever&ChillsLossofAppetiteNausea&Vomiting30Signs&SymptomsBreathing&HeSymptomsAnacutelyillpatienttendstolie“very”stillbecauseanymovementcausesexcruciatingpain.Theywillliewiththerekneesbenttodecreasestrainonthetenderperitoneum.31SymptomsAnacutelyillpatientExam&EvaluationFeel&presstheabdomentodetectanyswelling&tendernessintheareaaswellassignsoffluidhascollectedinthearea.Listentothebowelsounds&checkfordifficultybreathing,lowbloodpressure&signsofdehydration.32Exam&EvaluationFeel&pressEvaluationTheusualsoundsmadebytheactiveintestineandheardduringexaminationwithastethoscopewillbeabsent,becausetheintestineusuallystopsfunctioning.TheabdommayberigidandboardlikeAccumulationsoffluidwillbenotableinprimaryduetoascites.33EvaluationTheusualsoundsmadExamsBloodTestSamplesoffluidfromtheabdomenCTScanChestX-raysPeritoneallavage.34ExamsBloodTest14TreatmentApproachHospitalizationiscommon.Surgeryisoftennecessarytoremovethesourceofinfection.Antibioticsareprescribedtocontroltheinfection&intravenoustherapy(IV)isusedtorestorehydration.35TreatmentApproachHospitalizatTreatmentApproachMorphine

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