Abdo infection

Question 1

2 forms of infected abdomen

Answer 1

1. peritonitis

2. abdo abscess

Question 2

def of peritonitis

Answer 2

infected material in one region or all over peritoneaum

Question 3

2 sources

Answer 3

1ry source - unimicrobial

2ry source -from amspill

Question 4

def. abscess

Answer 4

local collection of pus

Question 5

1 most common and 3 less common sources of infection in gut

Answer 5

common - GI bact. leak
uncommon
- via portal blood
- via biliary ascent
- via systemic blood (hematogenous)

Question 6

how does perionitis spread

Answer 6

fluid flow, resp, gravity

Question 7

3 classes of abscesses

Answer 7

1. intrapertoneal
2. retropertoneal
3. visceral

Question 8

4 mechs by which bugs get in

Answer 8

1. perf - always
2. ischemia -usually
3. inflammation - usually
4. obstruction - sometimes

Question 9

3 possible body responses to leaks

Answer 9

1. acute inflammation
2. lymphatics absorb>reticulo-endothelial uptake>blood
3. systemic inflammation

Question 10

functions of inflammation

Answer 10

• kills microbes
• fibrin deposition
  pain

Question 11

3 options once infected

Answer 11

1. resolve - young and healthy
2. perdistence - complex abdo
3. death overwhelming ifection

Question 12

common signs

Answer 12

• pain, tenderness, rebound
• ileus
• systemic fever, chills

Question 13

3 exeptions to rule that all peritonitis is from gut

Answer 13

1. pancreatitis
2. ruptured AA
3. primary peritonitis

Question 14

2 times peritonitis may not need operation

Answer 14

1. perforated ulcer

2. scope perf

Question 15

prog. in 2ry peri

Answer 15

20-30% die

Question 16

complications

Answer 16

• hernia
• renal fail
• pulmonary
• psych

Question 17

what is the problem in diagnosing in people that are post-op

Answer 17

free air, pain are normal after abdo surg.

Question 18

what can help diagnose atypical peritonitis

Answer 18

organ dysfunction - image liberally

Question 19

7 keys to mgmt of infection

Answer 19

1. don’t delay
2. resuscitate - fluids BP
3. source control - open or laprascopic
4. manage abdo wall
5. expect an treat complications
6. ABs
7. psych/fam

Question 20

what to do for leak

Answer 20

hartmans

Question 21

3 abdo wall challenges

Answer 21

1. bowel edema
2. heavy contamination
3. weak tissues

Question 22

3 possible residual wall problems

Answer 22

1. fistula
2. skin and fascia infections
3. hernia

Question 23

4 possible infectious complications

Answer 23

1. pneu
2. lines
3. urinary
4. skin