Peritonitis: Types and Pathology

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16 Questions

Which type of bacteria is commonly associated with peritonitis?

Escherichia coli

What are the types of peritonitis mentioned in the text?

Primary, Secondary, Tertiary

What factors favor the localization of peritonitis?

Pathological factors and omentum

How does peritonitis spread according to the text?

Via gastrointestinal perforation

Which sign is not associated with peritonitis?

Clear breath sounds

What is the most common symptom of peritonitis?

Pain

What method is often used to diagnose peritonitis?

Diagnostic peritoneal lavage

Which type of peritonitis involves injuries to the common bile duct (CBD)?

Bile peritonitis

What is a common complication of peritonitis?

Septicemia & organ failure

What is a common source of primary streptococcal peritonitis in girls aged 3–6 years?

Genital tract infection

What is the most common clinical feature of chronic tuberculous peritonitis?

Night sweats

Which presentation is similar to pneumococcal peritonitis?

Primary streptococcal peritonitis

What often happens to the omentum in chronic tuberculous peritonitis?

"Rolled up"

Which investigation is often used to detect fluid collections in the abdomen during peritonitis?

CT scan

"Laparoscopy" is used for the diagnosis of which type of peritonitis?

"Tuberculous"

What is the largest cavity in the human body?

Peritoneal cavity

Study Notes

Bacteria Associated with Peritonitis

  • Streptococcus pneumoniae is commonly associated with peritonitis.

Types of Peritonitis

  • Primary peritonitis
  • Secondary peritonitis
  • Chronic tuberculous peritonitis

Factors Favoring Localization of Peritonitis

  • Presence of adhesions
  • Fibrinous exudate
  • Omental wrapping

Spread of Peritonitis

  • Through the bloodstream (hematogenous spread)
  • Direct spread from an infected organ
  • Contiguous spread from an infected adjacent organ

Signs Not Associated with Peritonitis

  • Flank tenderness

Symptoms of Peritonitis

  • Abdominal pain is the most common symptom

Diagnosis of Peritonitis

  • Paracentesis (abdominal tap) is often used to diagnose peritonitis

Type of Peritonitis Involving Injuries to the Common Bile Duct (CBD)

  • Postoperative peritonitis

Complications of Peritonitis

  • Sepsis is a common complication of peritonitis

Source of Primary Streptococcal Peritonitis in Girls

  • Gynecological infections are a common source of primary streptococcal peritonitis in girls aged 3-6 years

Clinical Feature of Chronic Tuberculous Peritonitis

  • Abdominal distension is the most common clinical feature of chronic tuberculous peritonitis

Presentation Similar to Pneumococcal Peritonitis

  • Meningococcal peritonitis presentation is similar to pneumococcal peritonitis

Omentum in Chronic Tuberculous Peritonitis

  • The omentum often becomes thickened and inflamed in chronic tuberculous peritonitis

Investigation to Detect Fluid Collections

  • Ultrasonography is often used to detect fluid collections in the abdomen during peritonitis

Diagnosis of Peritonitis Using Laparoscopy

  • Laparoscopy is often used for the diagnosis of secondary peritonitis

Largest Cavity in the Human Body

  • The peritoneal cavity is the largest cavity in the human body

Test your knowledge about peritonitis, the inflammation of the peritoneum often caused by bacteria. This quiz covers the types of peritonitis, routes of infection, and the pathology associated with the condition.

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