Peritonitis. Symptoms презентация

PLAN:
What is peritonitis?
What causes peritonitis ?
Symptoms
Diagnose
Treatments
Conclusion

Peritonitis - inflammation of the parietal and visceral peritoneum leaves , which is accompanied by severe general condition of the body .
The general definition does not fully reflect the problematic pathology with practical surgeon abdominal abscesses point of view should be excluded from the general definition. As a rule , peritonitis, threatening the patient's life and is a medical emergency . Prognosis in case of untimely or inadequate treatment of peritonitis is very unfavorable.
What is peritonitis?

What causes peritonitis ?
Peritonitis is caused by exposure to chemical or infectious stimuli due to ingress into the free peritoneal cavity of gastric contents (containing hydrochloric acid) , bile, urine , and blood.
The most common cause of bacterial peritonitis - perforation of the hollow organ of the gastrointestinal tract, a result of which falls into the peritoneal cavity or the gastric and intestinal microflora content , i.e. bacteria that inhabit the stomach / intestinal lumen.
hollow organ perforation can occur due to :
- rupture of the appendix ( a complication of acute appendicitis )
- perforation of the stomach or duodenal ulcers
- ulceration of lymphoid plaque in typhoid fever
- damage to the intestinal wall foreign body
- bowel necrosis hernia
- perforation cancer and other reasons.

Symptoms
sharply increased pain in the abdomen
fever nausea and vomiting , not bringing relief
muscle tension anterior abdominal wall
sharp pain when pressing on the anterior abdominal wall
frenikus symptom
Mendel symptom
a symptom of the Resurrection Blumberg - SHCHetkina symptom
Symptom imaginary well-being - after perforation the patient feels severe pain , then the pain subsides as receptors on the peritoneum adapt , but after 1-2 hours the pain appears with a bang , as the inflammation of the peritoneum

Classification:
The clinical course :
- acute;
chronic.
By the nature of infection :
primary ( infection or hematogenous lymphogenous ) ;
secondary ( infection due to injuries and surgical diseases of the abdominal cavity)
According to microbiological characteristics :
microbial (bacterial ) ;
aseptic;
By the nature of exudate :
- serous;
- fibrinous ;
purulent;
hemorrhagic.