1. Acute Peritonitis
Complaints :-
Acute pain in abdomen
Fever
Vommiting
Nausia
Weakness
Tachy cardia
Tachypnea
Dry tounge
Anamnesis morbi :-
Acute pain
12 Hours
Analgesics
Anti iemmetic
Anamnesis Vitae :-
Perforation of holo organ
Physucal examination :-
Visual inspection
Pale skin
Dry tounge
Palpation:-
Shutken Bloomberg : palpation in any place in abdomen patient feel pain and when doctor relese finger
patient feel more pain
Percussion:-
Dullness Sound
Auscultation:-
Absence of peristaltic sound
2. Labatatory Test:-
Leukocytosis with left shift formula
Biochimichal : -Vital function dispalance
-Electrolyte
-Acid base dispalance
-Increase creatinine
Instrumental :-
X-Ray – symptom of moon line and cloiper cup are positive
Ultra Sound – (Perforation)
Diffrential Diagnosis:-
Treatment :-
Urgent hospitalization to surgery department
Laparatomy
Close of perforation
Sterelayzation of abdomen
Anti biotic
Relax
