Diffuse peritonitis
•Download as PPTX, PDF•
1 like•2,384 views
A 31-year-old female presented with abdominal pain that began 1 day prior and had spread to her whole abdomen, along with nausea, vomiting, and abdominal tenderness. Laboratory results and imaging showed signs of diffuse peritonitis suspected to be from a perforated appendix. The patient underwent an appendectomy where 500cc of fluid was found and evacuated from the abdomen. An ovarian cyst was also found and drained. Post-operatively, drains were left in place to evacuate further fluid from the abdomen.
Report
Share
Report
Share
Recommended
Signs in pneumoperitoneum
Pneuperitoneum is best discovered on Abdominal Radiograph.
These signs help in easy detection of the condition
Imaging modalities of intestinal obstruction Mithilesh Kumar Medical College ...
This document discusses various imaging modalities used to diagnose intestinal obstruction including radiography, computed tomography, magnetic resonance imaging, ultrasonography, nuclear imaging, and angiography. Plain X-rays can show dilated bowel loops and air-fluid levels. CT provides more detail of bowel wall abnormalities. MRI is useful for assessing strangulation. Ultrasound evaluates bowel peristalsis. Nuclear imaging detects inflammation. Angiography diagnoses internal hernias. Barium studies demonstrate characteristic signs of intussusception and volvulus. Imaging plays a key role in evaluating intestinal obstructions.
Presentation1.pptx acute abdomen.
This document contains radiological images showing various acute abdominal conditions:
1) Ultrasound images show mesenteric lymphadenitis causing ileocolic intussusception in a child, seen as enlarged lymph nodes and the classic "doughnut sign".
2) CT scans of a elderly woman show multiple small bowel intussceptions caused by metastatic lung cancer, seen as bowel wall thickening and enteroenteric invaginations.
3) CT images demonstrate an enteroenteric intussusception without obstruction in the small bowel.
Peritonitis
this presentation includes anatomy physiology function of peritoneum ,also includes cause of peritonitis its severity ,various scoring system investigation and treatment.It includes the recent advancement and latest articles from latest books of surgery.
Peptic Ulcer Bleeding
This document summarizes the management of acute bleeding from peptic ulcers. The majority of acute upper GI bleeding is caused by peptic ulcers. Presenting signs include hematemesis and melena. Priority is given to assessing hemodynamic status, resuscitation, NG tube placement, and early endoscopy within 24 hours. Endoscopy allows classification of ulcers and identification of those with high-risk stigmata requiring endoscopic hemostasis treatment. Patients with high-risk ulcers are admitted and treated with IV PPIs. Those with low-risk ulcers may be discharged after endoscopy if stable, with oral PPI treatment. Surgery or radiology are considered if rebleeding occurs despite
Acute abdomen
1) The acute abdomen refers to a clinical situation requiring immediate diagnosis and treatment for an acute change in the intraabdominal organs, usually related to inflammation or infection.
2) A history, physical exam, and serial exams are more important for diagnosis than tests. Common causes include appendicitis, cholecystitis, pancreatitis, diverticulitis, perforated ulcer, and inflammatory bowel disease.
3) CT scans accurately diagnose many conditions like appendicitis, diverticulitis, and pancreatitis but should only be used after developing a working diagnosis, as treatment may involve antibiotics, drainage, or surgery.
Mirizzi syndrome
This document discusses Mirizzi syndrome, which refers to common hepatic duct obstruction caused by an impacted gallstone. It can occur in 0.1-2.5% of gallstone cases. Large stones can impact in the cystic duct or gallbladder neck, causing mechanical obstruction or inflammation of the common hepatic duct. Patients often present with jaundice, abdominal pain, or cholangitis. Diagnosis is difficult but can be aided by imaging like MRCP or ERCP. Surgical treatment depends on the classification and may involve cholecystectomy with possible bile duct repair or bypass. Complications can include bile duct injury, bleeding, or stricture.
Appendicitis
This document discusses appendicitis, including its signs, symptoms, diagnostic tests, differential diagnosis, and treatment options. Appendicitis has a 7% lifetime risk and commonly affects people aged 10-30. Diagnosis involves physical exam findings like the Dunphy sign as well as imaging like CT scans or ultrasounds to identify an enlarged appendix. Treatment is typically open or laparoscopic appendectomy, with laparoscopic offering benefits like shorter recovery for uncomplicated cases. Chronic appendicitis presents with long-term localized pain but fewer systemic symptoms.
Recommended
Signs in pneumoperitoneum
Pneuperitoneum is best discovered on Abdominal Radiograph.
These signs help in easy detection of the condition
Imaging modalities of intestinal obstruction Mithilesh Kumar Medical College ...
This document discusses various imaging modalities used to diagnose intestinal obstruction including radiography, computed tomography, magnetic resonance imaging, ultrasonography, nuclear imaging, and angiography. Plain X-rays can show dilated bowel loops and air-fluid levels. CT provides more detail of bowel wall abnormalities. MRI is useful for assessing strangulation. Ultrasound evaluates bowel peristalsis. Nuclear imaging detects inflammation. Angiography diagnoses internal hernias. Barium studies demonstrate characteristic signs of intussusception and volvulus. Imaging plays a key role in evaluating intestinal obstructions.
Presentation1.pptx acute abdomen.
This document contains radiological images showing various acute abdominal conditions:
1) Ultrasound images show mesenteric lymphadenitis causing ileocolic intussusception in a child, seen as enlarged lymph nodes and the classic "doughnut sign".
2) CT scans of a elderly woman show multiple small bowel intussceptions caused by metastatic lung cancer, seen as bowel wall thickening and enteroenteric invaginations.
3) CT images demonstrate an enteroenteric intussusception without obstruction in the small bowel.
Peritonitis
this presentation includes anatomy physiology function of peritoneum ,also includes cause of peritonitis its severity ,various scoring system investigation and treatment.It includes the recent advancement and latest articles from latest books of surgery.
Peptic Ulcer Bleeding
This document summarizes the management of acute bleeding from peptic ulcers. The majority of acute upper GI bleeding is caused by peptic ulcers. Presenting signs include hematemesis and melena. Priority is given to assessing hemodynamic status, resuscitation, NG tube placement, and early endoscopy within 24 hours. Endoscopy allows classification of ulcers and identification of those with high-risk stigmata requiring endoscopic hemostasis treatment. Patients with high-risk ulcers are admitted and treated with IV PPIs. Those with low-risk ulcers may be discharged after endoscopy if stable, with oral PPI treatment. Surgery or radiology are considered if rebleeding occurs despite
Acute abdomen
1) The acute abdomen refers to a clinical situation requiring immediate diagnosis and treatment for an acute change in the intraabdominal organs, usually related to inflammation or infection.
2) A history, physical exam, and serial exams are more important for diagnosis than tests. Common causes include appendicitis, cholecystitis, pancreatitis, diverticulitis, perforated ulcer, and inflammatory bowel disease.
3) CT scans accurately diagnose many conditions like appendicitis, diverticulitis, and pancreatitis but should only be used after developing a working diagnosis, as treatment may involve antibiotics, drainage, or surgery.
Mirizzi syndrome
This document discusses Mirizzi syndrome, which refers to common hepatic duct obstruction caused by an impacted gallstone. It can occur in 0.1-2.5% of gallstone cases. Large stones can impact in the cystic duct or gallbladder neck, causing mechanical obstruction or inflammation of the common hepatic duct. Patients often present with jaundice, abdominal pain, or cholangitis. Diagnosis is difficult but can be aided by imaging like MRCP or ERCP. Surgical treatment depends on the classification and may involve cholecystectomy with possible bile duct repair or bypass. Complications can include bile duct injury, bleeding, or stricture.
Appendicitis
This document discusses appendicitis, including its signs, symptoms, diagnostic tests, differential diagnosis, and treatment options. Appendicitis has a 7% lifetime risk and commonly affects people aged 10-30. Diagnosis involves physical exam findings like the Dunphy sign as well as imaging like CT scans or ultrasounds to identify an enlarged appendix. Treatment is typically open or laparoscopic appendectomy, with laparoscopic offering benefits like shorter recovery for uncomplicated cases. Chronic appendicitis presents with long-term localized pain but fewer systemic symptoms.
Intestinal Obstruction
This document discusses intestinal obstruction, including its causes, symptoms, diagnosis, and treatment. It describes two main types - mechanical obstruction caused by physical blockage, and paralytic ileus caused by loss of intestinal motility. Common symptoms are abdominal pain, vomiting, constipation, and distension. Diagnosis involves abdominal x-rays to detect gas patterns and fluid levels. Treatment focuses on fluid resuscitation, decompression with NG tubes, and timely surgery to relieve blockages and prevent complications like strangulation.
Gu trauma- urethra
The document discusses urethral injuries, including their classification, causes, clinical features, investigations, and management approaches. It covers injuries to both the posterior urethra from pelvic fractures or trauma, and anterior urethra from straddle injuries or trauma. For posterior injuries, early management includes suprapubic cystostomy while late management involves anastomotic urethroplasty techniques like the Webster or Waterhouse procedure. Anterior injuries are often managed with delayed repair or dilation depending on the severity of stricture formation.
Testicular torsion/ Torsion of testes
Testicular torsion is a urological emergency caused by twisting of the spermatic cord, cutting off blood supply to the testicle. It most commonly affects adolescent boys and young men under age 25. Without prompt surgical intervention to untwist the cord within 6-12 hours, the testicle will become necrotic. Diagnosis involves physical exam findings like a high-riding, swollen testicle with absent cremasteric reflex as well as Doppler ultrasound showing reduced or absent blood flow. Immediate orchiopexy is needed to save the testicle from necrosis and allow for potential future fertility.
Principles of bowel anastomosis
This document discusses principles of bowel anastomosis, including types of anastomoses, indications for anastomoses, pre-operative preparation, intra-operative techniques, post-operative care, complications, and controversies. It covers topics such as hand-sewn versus stapled anastomoses, single versus double layer closure, inversion versus eversion of tissue, and use of abdominal drains and NG tubes. The goal of bowel anastomosis is to successfully rejoin bowel segments through meticulous surgical technique and postoperative management in order to restore intestinal continuity.
Mirizzi syndrome ppt
Mirizzi syndrome is a rare complication of long-standing gallstone disease that results in external compression or fistulization of the common hepatic duct by an impacted gallstone in the cystic duct or gallbladder. It occurs in 0.3-5.7% of cholecystectomy patients. Treatment depends on the classification type but may include subtotal cholecystectomy, fistula repair, or hepaticojejunostomy. Precise preoperative diagnosis is difficult but helps minimize complications like bile duct injuries during surgery for this condition with distorted anatomy.
Ventral hernia
Ventral hernias occur when abdominal contents protrude through weaknesses in the abdominal wall. There are several types of ventral hernias classified by location and complexity. Examination involves evaluating for reducibility, tenderness, and signs of incarceration or strangulation. Treatment often involves surgical repair using sutures or mesh placement to reinforce the defect. Laparoscopic and open approaches are options depending on hernia characteristics.
Clinical examination of abdominal lump
This is extremely beneficial for clinicians engaged in medical practise as it shows how to examine abdominal lump.
Acute Appendicitis
The document discusses acute appendicitis, including its anatomy, function, stages of progression, causes, clinical manifestations, diagnosis, and treatment. The appendix arises from the cecum and is typically 6-9 cm long, functioning as an immunologic organ. Acute appendicitis begins with obstruction of the appendix and bacterial infection, which can progress to gangrene or perforation if not treated. Clinical symptoms include abdominal pain shifting to the lower right side. Diagnosis involves blood tests, imaging, and physical exam. Treatment is always surgical removal of the appendix to prevent further complications.
Gastric ca
This document provides an overview of the management of gastric cancer. It discusses the epidemiology, risk factors, diagnosis, staging workup, treatment options and prognosis. The main points are: gastric cancer is the 4th most common cancer worldwide and incidence has decreased; risk factors include H. pylori infection and low socioeconomic status; diagnosis involves endoscopy, imaging and biopsy; surgery is the only curative treatment but most present with advanced staged disease.
Hiatal hernia
Hiatal hernia
Synonyms Hiatus hernia
Hiatalhernia.gif
A drawing of a hiatal hernia
Specialty Gastroenterology, general surgery
Symptoms Taste of acid in the back of the mouth, heartburn, trouble swallowing[1]
Complications Iron deficiency anemia, volvulus, bowel obstruction[1]
Types Sliding, paraesophageal[1]
Risk factors Obesity, older age, major trauma[1]
Diagnostic method Endoscopy, medical imaging, manometry[1]
Treatment Raising the head of the bed, weight loss, medications, surgery[1]
Medication H2 blockers, proton pump inhibitors[1]
Frequency 10–80% (US)[1]
[edit on Wikidata]
A hiatal hernia is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest.
Lowergibleeding2003 100623234811-phpapp01
This document provides information on lower gastrointestinal bleeding, including its definition, classification, differential diagnosis, workup, interventions and treatments. It begins by defining lower GI bleeding as blood loss from a source distal to the Treitz ligament. It then classifies lower GI bleeding as massive, moderate or mild, and describes the criteria for massive bleeding. The document goes on to discuss the differential diagnosis, investigations and various treatment options for common causes of lower GI bleeding such as hemorrhoids and carcinoma of the rectum.
9 hernia
1. The document discusses different types of hernias, including inguinal, femoral, umbilical, incisional, and rare types.
2. It provides details on examining patients for hernias, such as observing for visible lumps, checking for cough impulse, and performing reducibility tests.
3. Key factors are described for differentiating between direct and indirect inguinal hernias, as well as differentiating inguinal from femoral hernias based on location and examination findings.
Acute cholecystitis
This document discusses acute cholecystitis, which is inflammation of the gallbladder. It can be divided into acute calculous cholecystitis, caused by cystic duct obstruction from a stone, or acalculous cholecystitis, which is infected but not caused by a stone. The document describes diagnostic criteria for acute cholecystitis including right upper quadrant pain, leukocytosis, fever, and ultrasound findings such as thickened gallbladder walls. Treatment options are also laid out including antibiotics for mild cases and cholecystectomy for severe cases.
PERIANAL ABSCESS & ISCHIORECTAL ABSCESS
PERIANAL & ISCHIORECTAL ABSCESSES COME UNDER ANORECTAL ABSCESSES.IN THIS PPT DISCUSS THE DIFFERENCE BETWEEN PERIANAL & ISCHIORECTAL ABSCESS
Oesophagus – perforation, mallory weiss syndrome and
This document discusses three conditions that affect the esophagus: perforation, Mallory-Weiss syndrome, and corrosive injury. Esophageal perforation can be caused by swallowed foreign bodies, corrosives, endoscopy procedures, or violent vomiting. It presents with chest, neck, and abdominal pain and requires antibiotics and surgical repair if large. Mallory-Weiss syndrome involves a tear in the esophagus from forceful vomiting, usually presenting with blood in the vomit. Corrosive injury results from ingesting substances like drain cleaner or bleach, causing severe esophagitis, pain, and complications like bleeding, perforation, or stricture if not treated promptly with neutralizing agents, antibiotics, and possibly surgery
Undescended testes
this presentation covers anatomy of the testis, embryological development, causes, clinical features, complications, differences between various types, investigations, and management of undescended testis.
Acute Appendicitis
The document provides information about acute appendicitis, including:
1) Acute appendicitis is the most common cause of intraabdominal infection and appendicectomy is a common emergency surgery. The clinical presentation can vary due to differences in patient age and degree of inflammation.
2) Signs of acute appendicitis include abdominal pain that starts around the navel and moves to the lower right side, nausea, vomiting, abdominal guarding and tenderness in the lower right quadrant.
3) Diagnosis is based on signs, symptoms, and imaging tests like ultrasound or CT scan. Differential diagnoses depend on patient age but can include conditions like gastroenteritis, mesenteric adenitis,
Abdominal Compartment Syndrome
The document presents updated consensus definitions and clinical practice guidelines for intra-abdominal hypertension and abdominal compartment syndrome from the World Society of the Abdominal Compartment Syndrome. It retains definitions from 2006 and introduces new definitions accepted by the 2012 consensus panel. It provides recommendations and suggestions regarding measuring intra-abdominal pressure, adopting standard measurement techniques, utilizing monitoring and management protocols, and using decompressive laparotomy for overt abdominal compartment syndrome. The recommendations and suggestions are assigned grades based on quality of evidence.
Signs of Pneumoperitoneum on Plain Film
This document discusses various radiographic signs that can indicate the presence of free air or pneumoperitoneum within the peritoneal cavity. It begins by explaining that pneumoperitoneum is most commonly caused by a perforation of the abdominal viscus, usually the stomach or bowel. It then presents 15 different named radiographic signs visible on abdominal x-rays that suggest pneumoperitoneum, such as the anterior subhepatic space free air sign and Rigler's sign. Each sign is accompanied by an illustrative image and brief explanation. Additional less common signs are also listed. References for further information are provided.
Management of urinary bladder injuries
Bladder injuries are rare. But when present in cases of polytrauma they pose both a diagnostic as well as surgical challenge to the attending surgeon. Understanding the mechanisms underlying bladder injuries is pivotal in developing a diagnostic algorithm in order to avoid missing of any urologic injury. Once the extent and site of damage is diagnosed then prompt surgical intervention is the mainstay of treatment. The pathophysiology and management of bladder injuries is discussed in this paper.
Acute peritonitis
This document discusses acute peritonitis, including:
- Peritonitis is defined as inflammation of the peritoneum and can be localized or generalized. It is usually caused by bacterial infection entering through the gastrointestinal tract or other sources.
- Symptoms depend on whether it is localized or diffuse. Localized peritonitis causes pain specific to the affected organ, while diffuse peritonitis causes generalized abdominal pain and tenderness.
- Treatment involves antibiotics, fluid resuscitation, and sometimes surgery to address the underlying cause and drain any abscesses. Outcomes depend on several factors but mortality is around 10% with prompt treatment. Complications can include shock, bowel obstruction, and residual infections.
Complication of Acute Peritonitis & Tuberculous Peritonitis
This document discusses various complications that can arise from acute peritonitis, including systemic complications like shock and organ failure, and abdominal complications like adhesions, abscesses, and bowel obstructions. It also covers specific conditions that can cause peritonitis like tuberculosis peritonitis and meconium ileus in infants with cystic fibrosis. Management approaches for drainage and treatment of abscesses and complications are outlined.
More Related Content
What's hot
Intestinal Obstruction
This document discusses intestinal obstruction, including its causes, symptoms, diagnosis, and treatment. It describes two main types - mechanical obstruction caused by physical blockage, and paralytic ileus caused by loss of intestinal motility. Common symptoms are abdominal pain, vomiting, constipation, and distension. Diagnosis involves abdominal x-rays to detect gas patterns and fluid levels. Treatment focuses on fluid resuscitation, decompression with NG tubes, and timely surgery to relieve blockages and prevent complications like strangulation.
Gu trauma- urethra
The document discusses urethral injuries, including their classification, causes, clinical features, investigations, and management approaches. It covers injuries to both the posterior urethra from pelvic fractures or trauma, and anterior urethra from straddle injuries or trauma. For posterior injuries, early management includes suprapubic cystostomy while late management involves anastomotic urethroplasty techniques like the Webster or Waterhouse procedure. Anterior injuries are often managed with delayed repair or dilation depending on the severity of stricture formation.
Testicular torsion/ Torsion of testes
Testicular torsion is a urological emergency caused by twisting of the spermatic cord, cutting off blood supply to the testicle. It most commonly affects adolescent boys and young men under age 25. Without prompt surgical intervention to untwist the cord within 6-12 hours, the testicle will become necrotic. Diagnosis involves physical exam findings like a high-riding, swollen testicle with absent cremasteric reflex as well as Doppler ultrasound showing reduced or absent blood flow. Immediate orchiopexy is needed to save the testicle from necrosis and allow for potential future fertility.
Principles of bowel anastomosis
This document discusses principles of bowel anastomosis, including types of anastomoses, indications for anastomoses, pre-operative preparation, intra-operative techniques, post-operative care, complications, and controversies. It covers topics such as hand-sewn versus stapled anastomoses, single versus double layer closure, inversion versus eversion of tissue, and use of abdominal drains and NG tubes. The goal of bowel anastomosis is to successfully rejoin bowel segments through meticulous surgical technique and postoperative management in order to restore intestinal continuity.
Mirizzi syndrome ppt
Mirizzi syndrome is a rare complication of long-standing gallstone disease that results in external compression or fistulization of the common hepatic duct by an impacted gallstone in the cystic duct or gallbladder. It occurs in 0.3-5.7% of cholecystectomy patients. Treatment depends on the classification type but may include subtotal cholecystectomy, fistula repair, or hepaticojejunostomy. Precise preoperative diagnosis is difficult but helps minimize complications like bile duct injuries during surgery for this condition with distorted anatomy.
Ventral hernia
Ventral hernias occur when abdominal contents protrude through weaknesses in the abdominal wall. There are several types of ventral hernias classified by location and complexity. Examination involves evaluating for reducibility, tenderness, and signs of incarceration or strangulation. Treatment often involves surgical repair using sutures or mesh placement to reinforce the defect. Laparoscopic and open approaches are options depending on hernia characteristics.
Clinical examination of abdominal lump
This is extremely beneficial for clinicians engaged in medical practise as it shows how to examine abdominal lump.
Acute Appendicitis
The document discusses acute appendicitis, including its anatomy, function, stages of progression, causes, clinical manifestations, diagnosis, and treatment. The appendix arises from the cecum and is typically 6-9 cm long, functioning as an immunologic organ. Acute appendicitis begins with obstruction of the appendix and bacterial infection, which can progress to gangrene or perforation if not treated. Clinical symptoms include abdominal pain shifting to the lower right side. Diagnosis involves blood tests, imaging, and physical exam. Treatment is always surgical removal of the appendix to prevent further complications.
Gastric ca
This document provides an overview of the management of gastric cancer. It discusses the epidemiology, risk factors, diagnosis, staging workup, treatment options and prognosis. The main points are: gastric cancer is the 4th most common cancer worldwide and incidence has decreased; risk factors include H. pylori infection and low socioeconomic status; diagnosis involves endoscopy, imaging and biopsy; surgery is the only curative treatment but most present with advanced staged disease.
Hiatal hernia
Hiatal hernia
Synonyms Hiatus hernia
Hiatalhernia.gif
A drawing of a hiatal hernia
Specialty Gastroenterology, general surgery
Symptoms Taste of acid in the back of the mouth, heartburn, trouble swallowing[1]
Complications Iron deficiency anemia, volvulus, bowel obstruction[1]
Types Sliding, paraesophageal[1]
Risk factors Obesity, older age, major trauma[1]
Diagnostic method Endoscopy, medical imaging, manometry[1]
Treatment Raising the head of the bed, weight loss, medications, surgery[1]
Medication H2 blockers, proton pump inhibitors[1]
Frequency 10–80% (US)[1]
[edit on Wikidata]
A hiatal hernia is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest.
Lowergibleeding2003 100623234811-phpapp01
This document provides information on lower gastrointestinal bleeding, including its definition, classification, differential diagnosis, workup, interventions and treatments. It begins by defining lower GI bleeding as blood loss from a source distal to the Treitz ligament. It then classifies lower GI bleeding as massive, moderate or mild, and describes the criteria for massive bleeding. The document goes on to discuss the differential diagnosis, investigations and various treatment options for common causes of lower GI bleeding such as hemorrhoids and carcinoma of the rectum.
9 hernia
1. The document discusses different types of hernias, including inguinal, femoral, umbilical, incisional, and rare types.
2. It provides details on examining patients for hernias, such as observing for visible lumps, checking for cough impulse, and performing reducibility tests.
3. Key factors are described for differentiating between direct and indirect inguinal hernias, as well as differentiating inguinal from femoral hernias based on location and examination findings.
Acute cholecystitis
This document discusses acute cholecystitis, which is inflammation of the gallbladder. It can be divided into acute calculous cholecystitis, caused by cystic duct obstruction from a stone, or acalculous cholecystitis, which is infected but not caused by a stone. The document describes diagnostic criteria for acute cholecystitis including right upper quadrant pain, leukocytosis, fever, and ultrasound findings such as thickened gallbladder walls. Treatment options are also laid out including antibiotics for mild cases and cholecystectomy for severe cases.
PERIANAL ABSCESS & ISCHIORECTAL ABSCESS
PERIANAL & ISCHIORECTAL ABSCESSES COME UNDER ANORECTAL ABSCESSES.IN THIS PPT DISCUSS THE DIFFERENCE BETWEEN PERIANAL & ISCHIORECTAL ABSCESS
Oesophagus – perforation, mallory weiss syndrome and
This document discusses three conditions that affect the esophagus: perforation, Mallory-Weiss syndrome, and corrosive injury. Esophageal perforation can be caused by swallowed foreign bodies, corrosives, endoscopy procedures, or violent vomiting. It presents with chest, neck, and abdominal pain and requires antibiotics and surgical repair if large. Mallory-Weiss syndrome involves a tear in the esophagus from forceful vomiting, usually presenting with blood in the vomit. Corrosive injury results from ingesting substances like drain cleaner or bleach, causing severe esophagitis, pain, and complications like bleeding, perforation, or stricture if not treated promptly with neutralizing agents, antibiotics, and possibly surgery
Undescended testes
this presentation covers anatomy of the testis, embryological development, causes, clinical features, complications, differences between various types, investigations, and management of undescended testis.
Acute Appendicitis
The document provides information about acute appendicitis, including:
1) Acute appendicitis is the most common cause of intraabdominal infection and appendicectomy is a common emergency surgery. The clinical presentation can vary due to differences in patient age and degree of inflammation.
2) Signs of acute appendicitis include abdominal pain that starts around the navel and moves to the lower right side, nausea, vomiting, abdominal guarding and tenderness in the lower right quadrant.
3) Diagnosis is based on signs, symptoms, and imaging tests like ultrasound or CT scan. Differential diagnoses depend on patient age but can include conditions like gastroenteritis, mesenteric adenitis,
Abdominal Compartment Syndrome
The document presents updated consensus definitions and clinical practice guidelines for intra-abdominal hypertension and abdominal compartment syndrome from the World Society of the Abdominal Compartment Syndrome. It retains definitions from 2006 and introduces new definitions accepted by the 2012 consensus panel. It provides recommendations and suggestions regarding measuring intra-abdominal pressure, adopting standard measurement techniques, utilizing monitoring and management protocols, and using decompressive laparotomy for overt abdominal compartment syndrome. The recommendations and suggestions are assigned grades based on quality of evidence.
Signs of Pneumoperitoneum on Plain Film
This document discusses various radiographic signs that can indicate the presence of free air or pneumoperitoneum within the peritoneal cavity. It begins by explaining that pneumoperitoneum is most commonly caused by a perforation of the abdominal viscus, usually the stomach or bowel. It then presents 15 different named radiographic signs visible on abdominal x-rays that suggest pneumoperitoneum, such as the anterior subhepatic space free air sign and Rigler's sign. Each sign is accompanied by an illustrative image and brief explanation. Additional less common signs are also listed. References for further information are provided.
Management of urinary bladder injuries
Bladder injuries are rare. But when present in cases of polytrauma they pose both a diagnostic as well as surgical challenge to the attending surgeon. Understanding the mechanisms underlying bladder injuries is pivotal in developing a diagnostic algorithm in order to avoid missing of any urologic injury. Once the extent and site of damage is diagnosed then prompt surgical intervention is the mainstay of treatment. The pathophysiology and management of bladder injuries is discussed in this paper.
What's hot (20)
Oesophagus – perforation, mallory weiss syndrome and
Oesophagus – perforation, mallory weiss syndrome and
Viewers also liked
Acute peritonitis
This document discusses acute peritonitis, including:
- Peritonitis is defined as inflammation of the peritoneum and can be localized or generalized. It is usually caused by bacterial infection entering through the gastrointestinal tract or other sources.
- Symptoms depend on whether it is localized or diffuse. Localized peritonitis causes pain specific to the affected organ, while diffuse peritonitis causes generalized abdominal pain and tenderness.
- Treatment involves antibiotics, fluid resuscitation, and sometimes surgery to address the underlying cause and drain any abscesses. Outcomes depend on several factors but mortality is around 10% with prompt treatment. Complications can include shock, bowel obstruction, and residual infections.
Complication of Acute Peritonitis & Tuberculous Peritonitis
This document discusses various complications that can arise from acute peritonitis, including systemic complications like shock and organ failure, and abdominal complications like adhesions, abscesses, and bowel obstructions. It also covers specific conditions that can cause peritonitis like tuberculosis peritonitis and meconium ileus in infants with cystic fibrosis. Management approaches for drainage and treatment of abscesses and complications are outlined.
Peritonitis
Peritonitis refers to inflammation of the peritoneum lining the abdominal cavity. There are three main types: primary involves direct bacterial invasion from the bloodstream; secondary occurs when the peritoneum is contaminated by a perforated organ; and tertiary develops in immunocompromised patients and is difficult to treat. Primary peritonitis involves a single bacterium and usually resolves with antibiotics alone. Secondary peritonitis requires source control through surgery in addition to broad-spectrum antibiotics to address mixed aerobic and anaerobic bacteria. Tertiary peritonitis has high mortality over 50% even with antibiotics and source control due to drug-resistant bacteria and weakened host defenses.
Peritonitis
Peritonitis is an inflammation of the peritoneum that can be caused by infection or non-infectious processes. It is typically caused by a perforation or leak in the gastrointestinal tract that allows bacteria to enter the abdominal cavity. The document outlines the types, causes, signs and symptoms, diagnostic workup, and treatment including antibiotics, surgery, and postoperative care for managing peritonitis.
Musterpräsentation Leber - Galle - Pankreas 2011
Beispiele aus der Vorlesung Leber, Galle, Pankreas 2011
Tb
Abdominal tuberculosis is a condition caused by Mycobacterium tuberculosis infection of the peritoneum or abdominal organs. The most common site of involvement is the ileocaecal region of the small intestine and large intestine junction. Symptoms vary depending on the specific site of infection but can include abdominal pain, fever, weight loss, ascites, or the presence of a palpable abdominal mass. Diagnosis is supported by ascitic fluid analysis, imaging, endoscopy, and biopsy showing caseating granulomas. Treatment involves a standard combination of antitubercular drugs including isoniazid, rifampin, pyrazinamide, and ethambutol.
Peritonitis emerson
This document discusses peritonitis, which is inflammation of the peritoneum. The peritoneum is the serous membrane that lines the abdominal cavity and covers organs. Peritonitis can be caused by bacterial or fungal infections entering the abdominal cavity from conditions like peritoneal dialysis or fluid buildup from liver disease. It causes symptoms like abdominal pain and swelling, fever, nausea, and vomiting. Treatment involves hospitalization, intravenous antibiotics and fluids to fight the infection and prevent spreading, and sometimes surgery to remove infected tissue.
Peritonitis
La peritonitis es una inflamación del peritoneo que puede ser aguda o crónica, primaria o secundaria. La peritonitis aguda se caracteriza por dolor abdominal, contractura muscular y signos de infección sistémica. El tratamiento incluye corrección quirúrgica de la causa subyacente, soporte hemodinámico, antibióticos y medidas para reducir la contaminación peritoneal como lavados y drenajes.
Abdominal access
This document discusses abdominal incisions and the management of peritonitis and intra-abdominal abscesses. It describes the midline and paramedian incisions for abdominal access. It defines primary and secondary peritonitis and discusses the surgical management including source control, reducing bacterial contamination, and preventing recurrent infection. It also outlines the clinical features and management of intra-abdominal abscesses.
Peritonitis
The goals of treating peritonitis are to eliminate the source of contamination, reduce the bacterial load, and prevent recurrent infection. Treatment involves broad-spectrum antibiotics, correcting electrolyte and coagulation abnormalities, analgesia, and surgery to drain and decompress the abdomen. Post-operatively, patients require close monitoring for resolution of sepsis or organ failure and risks of secondary infections requiring further intervention.
Acute peritonitis
This document discusses acute peritonitis, including its etiology and causes. Peritonitis is defined as inflammation of the peritoneum, which can be localized or generalized. Bacterial infection is a common cause, usually from gastrointestinal bacteria entering the peritoneal cavity through a perforation or translocation. Other causes include chemical irritation, allergies, trauma, ischemia, and certain medical conditions. The document outlines routes of spreading, common microorganisms involved, aspects of localized versus diffuse peritonitis, and microbiological and pathological factors.
Peritonitis alva huaraj, rosa alejandra 2015
El documento trata sobre la peritonitis y su manejo postoperatorio. Explica que es importante mantener el estado nutricional y equilibrio hidroelectrolítico del paciente después de la cirugía, así como insistir en la movilización temprana y tratamiento antibiótico. También habla sobre estar alerta para diagnosticar complicaciones postoperatorias de manera temprana y el manejo multidisciplinario cuando el paciente está en shock séptico.
Peritonitis
Peritonitis is an infection or inflammation of the peritoneum, which is the membrane lining the abdominal cavity. Potential routes of infection include intraluminal, periluminal, transmural, hematogenous, and transvaginal. Staphylococcus epidermidis is the most common causative organism. Treatment involves administering intraperitoneal antibiotics such as cefazolin and gentamicin to achieve high antibiotic concentrations in the peritoneum. Initial treatment lasts 3 days followed by adjustment of antibiotics based on culture results and response to treatment. Prevention strategies include careful patient selection, training, and ensuring proper exchange techniques.
Diagnosis of abdominal tuberculosis
Abdominal tuberculosis is the third most common form of extrapulmonary tuberculosis. It can affect any part of the gastrointestinal tract from mouth to anus. The most common sites of involvement are the ileocecal region and ascending colon. Patients typically present with abdominal pain, weight loss, fever, and diarrhea or constipation. Diagnosis is based on clinical features, imaging, endoscopy, histology, and culture of tissue samples. Treatment involves a 6-month course of anti-tubercular medications with surgery for complications like obstruction or perforation. A high index of suspicion is needed for early diagnosis and management of this potentially lethal but curable disease.
Peritonitis
La peritonitis se define como la inflamación de la membrana peritoneal causada por irritación química, invasión bacteriana u otras causas. Puede clasificarse como primaria, secundaria o terciaria dependiendo de su origen, o como aguda o crónica dependiendo de su evolución. Los síntomas incluyen dolor abdominal, náuseas, fiebre y alteraciones intestinales. El diagnóstico se basa en la historia clínica, examen físico y exámenes complementarios. El tratamiento consiste en corrección quirú
Anatomy of Cholelithiasis
Cholelithiasis (calculi or gallstones) usually form in the gallbladder from the solid constituents of bile and vary greatly in size, shape and composition.
PERITONITIS
Este documento describe la peritonitis secundaria, una infección de la cavidad peritoneal causada por la contaminación de órganos abdominales como el tracto gastrointestinal. Explica que el diagnóstico incluye pruebas de laboratorio y de imagen como TAC y ecografía abdominal. El tratamiento requiere antibióticos, control de la fuente de infección quirúrgicamente si es necesario, soporte nutricional y control del volumen. La cirugía puede incluir lavado peritoneal, drenaje y cierre de la pared abdominal.
Viewers also liked (20)
Complication of Acute Peritonitis & Tuberculous Peritonitis
Complication of Acute Peritonitis & Tuberculous Peritonitis
Similar to Diffuse peritonitis
Diffuse peritonitis
A 31-year-old male presented with abdominal pain for 1 day. The pain started in the epigastric region and spread throughout the abdomen. Physical exam revealed abdominal distention and muscular rigidity with pain on palpation. Laboratory results were notable for leukocytosis. Imaging showed diffuse peritonitis suspected to be from a perforated appendix. The patient underwent an appendectomy where 500cc of serous hemorrhagic fluid was found. The appendix and other organs appeared normal. An enlarged pancreas with softening was noted but no necrosis. A 5cm ovarian cyst was also found and drained. Drains were placed and the abdomen closed.
Final CPC Amoebic Liver Abscess.pptx
A 45-year-old male presented with fever, abdominal pain, and jaundice. Examination found tender hepatomegaly. Tests found elevated inflammatory markers and mildly abnormal liver enzymes. Imaging showed a large abscess in the right lobe of the liver. Needle aspiration yielded anchovy paste-like pus. Given the patient's history, physical exam findings, and imaging results, he was diagnosed with amoebic liver abscess. He was treated medically and surgically with drainage but later developed complications of sepsis and a right pleural effusion, which also resolved with treatment. Amoebic liver abscess most commonly presents as this case outlines.
Chronic Kidney Diseases, DM and GERD
Commorbid Diseases involve metabolic disorders and abnormality of mucosal system. Diabetes Mellitus as the main problem of the diseases
Typhoid presentations ppt dnb
1. The document describes two case presentations of pediatric patients seen in the emergency department with fever and abdominal pain.
2. The first case involves a 10-year-old boy with 6 days of fever and 2 days of abdominal pain who is diagnosed with enteric fever caused by Salmonella typhi based on blood culture results.
3. The second case involves a 14-year-old boy with 8 days of fever, 5 days of vomiting, and 3 days of right lower quadrant abdominal pain who undergoes an appendectomy for acute appendicitis and is later found to have Salmonella sepsis based on blood culture.
Grand round- SLE- LUPUS NEPHRITIS
This case presentation describes a 35-year-old female who presented with generalized swelling over her body for 20 days and abdominal pain for 1 day. Her history and examination findings were consistent with hypothyroidism, nephrotic syndrome, and systemic lupus erythematosus. Laboratory tests confirmed Hashimoto's thyroiditis, lupus nephritis with nephrotic range proteinuria, and positive ANA, anti-dsDNA, and anti-thyroglobulin antibodies. She was started on prednisone and thyroxine therapy and admitted for further management including a renal biopsy.
Avoiding errors in diagnosing abdominal pain
This document provides guidance on evaluating and diagnosing abdominal pain. It emphasizes the importance of thorough history taking and examination. Key vital signs and pain scores should be assessed. Analgesics can be given early without delaying diagnosis. Stability must be reassessed after interventions. Specific considerations are provided for different age groups and gender. Common patterns associated with various diagnoses are outlined. Four case studies are presented highlighting errors in diagnosis, including appendicitis mistaken for wall abscess, hernia nerve entrapment, testicular torsion, and opioid overdose masked by vague complaints. The takeaway is to be diligent and persistent until reaching a diagnosis.
A.pptx
1) The 80-year-old male patient presented with 5 months of abdominal pain, weight loss, and recent vomiting. Imaging showed a pancreatic mass encasing the splenic artery and gastric outlet obstruction.
2) Laboratory tests showed elevated tumor markers consistent with a probable malignant pancreatic mass.
3) The pre-op diagnosis is a pancreatic mass likely malignant causing gastric outlet obstruction. The proposed surgical plan is a palliative double bypass surgery including gastrojejunostomy, jejunostomy, and cholecystojejunostomy.
Rakshan.pptx
Khadiza, a 20-year old female student, presented with a 1-year history of swelling in her right breast without pain. On examination, a smooth, firm, localized lump was found in the lower outer quadrant of her right breast. Investigations including ultrasound and FNAC confirmed a diagnosis of fibroadenoma. She underwent successful excision of the breast lump under general anesthesia. Fibroadenoma is a benign breast tumor commonly seen in young females, presenting as a painless, movable lump that may be surgically excised if large or for cosmetic reasons.
pediatrics ward woks report
1) A 2-month-old female infant presented with a 30-minute seizure associated with fever and bluish discoloration. She had a history of intermittent fever over the past 2 days.
2) On examination, she had respiratory crackles but was otherwise normal. Initial assessments included febrile seizure or pneumonia.
3) Laboratory results revealed the final diagnosis to be bilateral subdural empyema.
appendicitis and acute scrotum by mostafa youssef.pptx
An 11-year-old boy presented with abdominal pain and vomiting, followed by sudden right scrotal pain. Examination found right iliac fossa tenderness and a swollen, tender right testis. Imaging showed appendicitis and absent blood flow to the right testis. Surgery revealed concurrent acute appendicitis and right testicular torsion requiring appendicectomy and orchidopexy. This rare case report presents the first known occurrence of simultaneous acute appendicitis and testicular torsion in a pediatric patient.
Case presentation for Reading
A 43 year old male patient was transferred with an ambulance in the emergency department of the hospital with bleeding from right thigh after a motorcycle accident. He had become a trapped under the motorcycle.
Discuss the medical, surgical and anesthetic management of this patient.
Melena et Causa Gastritis Erosiva and Hypertension
Algorithm approach is very important to diagnose Melena. Proper diagnosis and prompt treatment is needed
Common problems in paediatric surgery.pptx
This document discusses common pediatric surgical problems including neonatal intestinal obstruction, anorectal malformations, infantile hypertrophic pyloric stenosis, inguinoscrotal swellings, abnormalities of the urinary opening, and hypospadias. Key points include the clinical presentations, diagnostic evaluations, and management approaches for these common congenital anomalies and acquired pediatric surgical conditions. Accurate diagnosis and timely intervention are emphasized to optimize outcomes for affected children.
Liver abscess , case presentation
This case presentation describes a 60-year-old female patient who presented with 1 month of abdominal pain and 7 days of fever. Imaging revealed multiple rim-enhancing lesions in the liver consistent with pyogenic liver abscesses. The patient was diagnosed with pyogenic liver abscess and treated with intravenous antibiotics and drainage of the abscesses. Liver abscesses can have various causes but are often related to biliary tract or gastrointestinal infections. Diagnosis involves imaging and drainage or aspiration of pus is usually needed along with broad-spectrum intravenous antibiotics administered for at least 2 weeks.
HERNIA PDF.pdf
A 58-year-old male presented with a 1-year history of a right groin swelling that had gradually increased in size. On examination, a 10x4 cm swelling was found in the right groin and scrotum that increased with straining and reduced with lying down. A provisional diagnosis of a right reducible uncomplicated indirect inguinal hernia with omentocele was made.
UG CASE PRESENTATION ON INGUINAL HERNIA
I have added viva notes after this proforma for quick revision of important stuff asked in exam.
LINK FOR EXAMINATION VIDOES :
1. https://youtu.be/uO-w_9w5okI
2. https://youtu.be/Vc_ZH_-Oad4
Rectal cancer
(1) The patient is a 75-year-old female who presented with left lower quadrant pain, decreased bowel movements, weight loss, and recent vomiting of coffee ground material. (2) Physical exam revealed abdominal tenderness and a palpable mass in the left lower quadrant. (3) Imaging showed features suggestive of a colorectal mass. (4) During surgery, a rectosigmoid mass was found involving nearby structures, consistent with stage IV rectal cancer. (5) The patient underwent a Hartmann's procedure and ileostomy for palliation of bowel obstruction from metastatic rectal cancer.
ACUTE ABDOMEN-CLINICAL PRESENTATION AND MANAGEMENT.pptx
An acute abdomen refers to sudden, severe abdominal pain that is often an emergency requiring urgent diagnosis and treatment. The diagnostic process involves a thorough history and physical examination, as well as laboratory and imaging studies. The history focuses on the characteristics of the pain such as location, onset, radiation, and aggravating/relieving factors. The physical exam includes inspection, palpation, and examination of other organ systems. Common causes of acute abdomen that may require surgical intervention include appendicitis, cholecystitis, bowel obstruction, inguinal hernia, renal colic, and pancreatitis. An accurate diagnosis is important to prevent morbidity and mortality.
Similar to Diffuse peritonitis (20)
mekanisme pertahanan tubuh bagaiaman cara membuat presentasi.pptx
mekanisme pertahanan tubuh bagaiaman cara membuat presentasi.pptx
appendicitis and acute scrotum by mostafa youssef.pptx
appendicitis and acute scrotum by mostafa youssef.pptx
Melena et Causa Gastritis Erosiva and Hypertension
Melena et Causa Gastritis Erosiva and Hypertension
ACUTE ABDOMEN-CLINICAL PRESENTATION AND MANAGEMENT.pptx
ACUTE ABDOMEN-CLINICAL PRESENTATION AND MANAGEMENT.pptx
Recently uploaded
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Learn about body grief and ways to cope with it. We will also explore methods to heal from this challenging experience.
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...chandankumarsmartiso
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel With 100% Satisfaction
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptxMGM SCHOOL/COLLEGE OF NURSING
Identification and nursing management of congenital malformations Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Best Ayurvedic medicine for Gas and Indigestion
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Top-Vitamin-Supplement-Brands-in-India List
Swisschem Dermacare provides the Top 10 Vitamin Supplement Brands in India. To know more about us give us call at our official number
Recently uploaded (20)
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptx
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Diffuse peritonitis
- 1. S/F/31yo
- 2. S/F/31yo
- 3. Chief complaint: Pain on the whole abdomen The pain has been suffered by the patient since 1 days before admission to Haji Adam Malik Hospital. Firstly, pain was feel in epigastrium and spread into whole abdomen. Fever (-), nausea (+), vomiting (+). Micturation (+), defecation (-), flatus (+).
- 4. Present state : •Awareness : Alert •BP : 110/80 mmHg •HR : 85x/i •RR : 22x/i •T : 36,8°C •VAS : 5
- 5. Generalized State : • Head and neck : no abnormality was found • Chest : no abnormality was found • Abdomen : in localized state • Genitalia : male, no abnormality was found • Extremities : no abnormality was found
- 6. Localized State : • Abdomen : I : Symmetry, Distention (+) P : pain on the whole abdomen, muscular rigidity (+) P : tympani A : Peristaltic decrese • DRE : Perineum usual, loose anal sphincter tone, ampulla was not filled faeces, smooth mucous, pain (-). Hand gloves : feces (-), blood (-), mucous (+).
- 8. Laboratory findings: • Hb/Hct/WBC/PLT : 13,7/41,7/15,1/281 • Na/K/Cl : 130/3,4/104 • Ur/Cr : 15,1/0,61 • Random Blood Glucose :132,3 • Albumin : 3,1
- 9. Chest X-ray
- 12. Working Diagnose: • Diffuse Peritonitis d/t susp. Appendicitis perforation
- 13. Treatment • Nill Per Mouth • NGT insertion, came out greenish fluid 50cc • Urine catheter insertion, came out initial clear yellow urine 100cc • IVFD Crystalloid • Antibiotic Injection • Analgetic injection • Patient was prepared for appendictomy laparotomy
- 16. Cranial
- 17. In Operating theater • Patient in supine position in General anasthesia ETT, aseptic, antiseptic procedure • Midline incision, Cutis, subcutis, fascia, peritoneum was opened came out serous haemorrhage about 500 cc • Identification of hollow organ, gaster, jejenum, ileum in normal limit • Appendix, colon, and sigmoid in normal limit • Identification pancreas, found expand pancreas, sofonifikasi was found, necroticans pancreas was not found • Fluid came from retroperitoneal • Identification gynecology organ, found ovarium cyst size 5 cm consult at durante to Obgyn department drealing was performed • Bleeding control • Abdomen fluid was evacuate intermittenly, leaving 2 drain for external draining • The surgical wound was closed layer by layer • Operation was done