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PERITONITIS

Peritonitis (pear-ih-tuh-NYE-tis) Infection, or rarely some other type ofinflammation, of the peritoneum.Peritoneum is a membrane that covers the surface of both the organs that lie in the abdominal cavity and the

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Слайд 1PERITONITIS
Prepared by : Duisenov I
Group: 30-2

PERITONITISPrepared by : Duisenov IGroup: 30-2

Слайд 3Peritonitis (pear-ih-tuh-NYE-tis)

Infection, or rarely some other type of
inflammation, of

the peritoneum.

Peritoneum is a membrane that covers the
surface of

both the organs that lie in the
abdominal cavity and the inner surface of
the abdominal cavity itself.
Peritonitis (pear-ih-tuh-NYE-tis) Infection, or rarely some other type ofinflammation, of the peritoneum.Peritoneum is a membrane that covers

Слайд 4Intra-abdominal infections result in 2 major clinical manifestations
Early or diffuse

infection results in localized or generalized peritonitis.

Late and localized infections

produces an intra-abdominal abscess.
Intra-abdominal infections result in 2 major clinical manifestationsEarly or diffuse infection results in localized or generalized peritonitis.Late

Слайд 52 Major Types
Primary: Caused by the spread of an infection

from the blood & lymph nodes to the peritoneum.

Very rare < 1%

Usually occurs in people who have an accumulation of fluid in their abdomens (ascites).

The fluid that accumulates creates a good environment for the growth of bacteria.


2 Major TypesPrimary: Caused by the spread of an infection from the blood & lymph nodes to

Слайд 6Secondary: Caused by the entry of bacteria or enzymes into

the peritoneum from the gastrointestinal or biliary tract.

This can be

caused due to an ulcer eating its way through stomach wall or intestine when there is a rupture of the appendix or a ruptured diverticulum.

Also, it can occur due to an intestine to burst or injury to an internal organ which bleeds into the internal cavity.



2nd Type:

Secondary: Caused by the entry of bacteria or enzymes into the peritoneum from the gastrointestinal or biliary

Слайд 7Both cases are very serious & can be life threatening

if not treated properly!!!

Both cases are very serious &   can be life threatening if not   treated

Слайд 8Hollow organs are more susceptible to athletic injury when they

are full of waste & food products.

Injury to a hollow

organ may so signs of:
> black tarry stool
>bright red blood in the fecal discharge
>bloody vomitus

* Always remember there may be referred pain.
Hollow organs are more susceptible to athletic injury when they are full of waste & food products.Injury

Слайд 9Signs & Symptoms
Swelling & tenderness in the abdomen

Fever & Chills

Loss

of Appetite

Nausea & Vomiting
^ Breathing & Heart Rates

Shallow Breaths

Low BP

Limited

Urine Production

Inability to pass gas or feces
Signs & SymptomsSwelling & tenderness in the abdomenFever & ChillsLoss of AppetiteNausea & Vomiting^ Breathing & Heart

Слайд 10Exam & Evaluation
Feel & press the abdomen to detect any

swelling & tenderness in the area as well as signs

of fluid has collected in the area.

Listen to the bowel sounds & check for difficulty breathing, low blood pressure & signs of dehydration.
Exam & EvaluationFeel & press the abdomen to detect any swelling & tenderness in the area as

Слайд 11Treatment Approach
Hospitalization is common.

Surgery is often necessary to remove the

source of infection.

Antibiotics are prescribed to control the infection &

intravenous therapy (IV) is used to restore hydration.
Treatment ApproachHospitalization is common.Surgery is often necessary to remove the source of infection.Antibiotics are prescribed to control

Слайд 12Prognosis
Untreated peritonitis is poor, usually resulting in death.

With Tx, prognosis

is variable, dependent on the underlying causes.

PrognosisUntreated peritonitis is poor, usually resulting in death.With Tx, prognosis is variable, dependent on the underlying causes.

Слайд 13Preventive Care
There is “NO WAY” to prevent peritonitis, since the

diseases it accompanies are usually not under the voluntary control

of an individual.
However, the best way to prevent serious complications is to seek medical attention as soon as symptoms appear.
Preventive CareThere is “NO WAY” to prevent peritonitis, since the diseases it accompanies are usually not under

Слайд 14Histopathology of typical flask-shaped ulcer of intestine

Histopathology of typical flask-shaped ulcer of intestine

Слайд 15This occurs in acute pancreatitis

This occurs in acute pancreatitis

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