Peritonitis

Question 1

What is SBP?

Answer 1

Spontaneous bacterial peritonitis

Question 2

In who is SBP most commonly seen in?

Answer 2

Pts. with:
Cirrhosis
End-stage liver disease

Question 3

What are the symptoms of SBP?

Answer 3

abdominal pain, fever, vomiting, altered mental status, and gastrointestinal bleeding

BUT

Pts. commonly minimally or asympto

Question 4

How is SBP diagnosed?

Answer 4

Paracentesis: neutrophil count > 250 cells/ul

Presence of E. coli in fluid culture

Question 5

What is paracentesis?

Answer 5

procedure that removes fluid (peritoneal fluid) from the abdomen through a slender needle

Question 6

What is the management of SBP?

Answer 6

IV Cefotaxime

Question 7

When should AB prophylaxis be given?

Answer 7

Pts. with ascites who

• have had an epsiode of SBP
• fluid protein <15 g/l and either Child-Pugh score of at least 9 or hepatorenal syndrome

Question 8

What can cause peritonitis?

Answer 8

Burst stomach ulcer
Burst appendix
Crohn's or diverticulitis
Pancreatitis
Cirrhosis
Infection as a result of peritoneal dialysis equipment