Peritonitis

Abstract Background Early diagnosis and emergent surgical treatment of perforation peritonitis remain the mainstay of treatment. The purpose of study was to indentify the effect of early surgery on postoperative outcomes in patients with perforation peritonitis. Material and Methods A retrospective medical report of 200 patients who underwent exploratory laparotomy and proceed for perforation peritonitis from July 2014 to June 2016 was evaluated. Patients were divided into two groups based on the time of surgery i.e: Early (< 0.05), and had significantly higher median time to resumption of normal diet (5.0 [0–15] vs. 2.8 [1–5] days, P < 0.05) and length of ICU stay (8 [1-26] vs. 4 [1-9] days,…

To reduce further renal dysfunction in patient BB, the physician should implement the following recommendations of evidence-based guidelines. Intravenous albumin (1.5 g/kg within 6 hours of spontaneous bacterial peritonitis (SBP) diagnosis and 1 g/kg on day 3) should be given along with intravenous antibiotics. Multiple studies have shown IV albumin effective in decreasing the incidence of renal dysfunction from 33% to 10% and mortality from 29% to 10% and is especially beneficial for patients…

symptoms of peritonitis. Peritonitis is the inflammation of the peritoneum and is usually caused by diverticulitis which this patient has, also the patient has a cloudy peritoneal fluid which indicates the sign of a bacterium called Bacteroides fragilis. This bacterium is obligately anaerobic and is typically found in the digestive tract of humans. Also within the paper are ways to treat and prevent peritonitis, and talks about the function/structure of the microorganism. Clinical Case #2…

assess your progress question number 13 chapter 24 The walls and organs of the abdominal cavity are lined with serous membranes. These membranes are very smooth and secrete a serous fluid, which provides a lubricating film between the layers of membranes. The membranes and fluid reduce friction as organs move within the abdomen. The serous membrane that covers the organs is the visceral peritoneum and the one that covers the interior surface of the wall of the abdominal cavity is the parietal…

Abdominal Adhesions are imperative since they are a typical reason for stomach indications, especially stomach torment and they can cause gut blockages or impediment. The term adhesion alludes to the development of scar tissue between inside circles and the inward coating of the stomach divider or with different organs inside the stomach cavity. Adhesions form when irritation happens on the surface of the stomach organs or the peritoneal coating of the stomach pit; the arrangement of scar…

count > 12,000/mm>3 or < 4,000/mm>3, or > 10% bands. The definition of sepsis is two out of the preceding four criteria, plus a present or suspected source of infection. Severe sepsis is diagnosed when the aforementioned are combined with end organ damage, as found by the presence of lactic acidosis, a systolic blood pressure less than 90, or a drop in blood pressure more than 40 mmHg from normal. Septic shock is the last and most severe category, defined as severe sepsis, with…

There were some obstacles that happened in my life that I was not ready for. When I was 21 years old, I use to think I was invincible. When I found out that I really was not, it affected me in my life. Growing up, I always played soccer and I always enjoyed doing exercises. I was addicted to do any kind of sports. I am a person that I like to eat healthy foods and do exercises. I never thought I would get sick of appendicitis. The scariest moment of my life occurred when I needed to go emergency…

and biopsy if needed. The treatment include reducing the hyperacidity of the stomach with medication such as Prilosec, antibiotics to eradicate the infection, and anti-inflammation drugs such as steroid. Then surgical resection is required for bleeding, peritonitis, and obstruction (Huether & McCance, 2012). Since increase use of non-steroid anti-inflammatory drugs predisposes to gastric bleeding, avoiding this medication is advice to prevent mucosal erosion. Smoking cessation should be…

still often an effective treatment method. However, just because a method of treatment has been known for a longer period of time, that does not mean it is the only treatment option still, or even the best treatment method. It’s important to stay up to date on current research that can provide options to the patients when it comes to their care. For example, for over one hundred years the accepted treatment for appendicitis has been for the patient to undergo either an open or laparoscopic…

Pathophysiology: Small Bowel Obstruction The effect of small bowel obstruction is connected to its start and location. The start, location, and length of the intestinal tract nearest to the obstruction and the existence and severity of ischemia. The cause of small bowel obstruction include hernias, adhesions within the abdomen and tumors. The lumen near the obstruction fills with a massive amount of fluid and gas. The obstruction keeps water and electrolytes from properly absorbing. As a…