Peritonitis

• What is peritonitis?


  Inflammation of the peritoneum
• What can peritonitis lead to?


  Perforation
• What are some causes of peritonitis?

  Infection (bacterial or fungal)

  Trauma

  Pancreatitis

  Cirrhosis with ascites

  Pelvic inflammatory disease
• What is the most common cause of peritonitiis?

  Bacterial or fungal infection
• What are some risk factors for peritonitis?


  Peritoneal dialysis

  GI perforation

  Abdo surgery or trauma

  Ascites

  PID
• What are the different types of peritonitis?


  Primary

  Secondary

  Tertiary
• What is primary peritonitis?

  No identifiable source of infection
• What is secondary peritonitis?


  Caused by contamination from an intra-abdo source
• What is tertiary peritonitis?

  Recurrent infection after treatment
• What is the modt ocmmon cause of bacterial peritonitis?


  E. coli

  Bacteroids
• What is the most common cause of fungal peritonitis?


  Candida
• What are the different types of peritonitis based on its microbial cause?

  Bacterial

  Fungal

  Tuberculous
• What is purulent peritonitis?


  Pus in the peritoneal cavity
• What often causes purulent peritonitis?


  Bacterial infection
• What is biliary peritonitis?


  Bile leaks into the peritoneal cavity
• What often causes biliary peritonits?

  Gallbladder diease/trauma
• What is faecal peritonitis?


  Faecal contamination of the peritoneal cavity
• What often causes faecal peritonits?

  Perforation of GI tract
• What are some signs and symptoms of peritonitis?


  Acute abdo pain - diffuse and severe

  Nausea

  Vomiting

  Anorexia

  Rebound tenderness

  Fever

  Tachycardia

  Hypotension
• What are some bloods results expected for peritonitis?


  Elevated WBC

  Elevated CRP

  Abnormal liver function tests
• What might some imaging show in peritonitis?


  Free fluid in abdo

  Thickening of peritoneum
• How is peritonitis managed?


  Antibiotics

  Surgery

  Follow up
• What are some complications of peritonitis?


  Septic shock

  Abscess formation

  Intra-abdo adhesions

  Hepatic encephalopathy

  Acute resp distress

  AKI