Peritonitis. Symptoms презентация

PRESENTATION
THEME: PERITONITIS

Kazakh National Medical University named after S.D. Asfendyarov

Worked by: Kolpasheva K.Y
Group: GM 15-23-1
Checked by: Tolebayev T.P

which is accompanied by severe general condition of the body .
The general definition does not fully reflect the problematic pathology with practical surgeon abdominal abscesses point of view should be excluded from the general definition. As a rule , peritonitis, threatening the patient's life and is a medical emergency . Prognosis in case of untimely or inadequate treatment of peritonitis is very unfavorable.

What is peritonitis?

or infectious stimuli due to ingress into the free peritoneal cavity of gastric contents (containing hydrochloric acid) , bile, urine , and blood.
The most common cause of bacterial peritonitis - perforation of the hollow organ of the gastrointestinal tract, a result of which falls into the peritoneal cavity or the gastric and intestinal microflora content , i.e. bacteria that inhabit the stomach / intestinal lumen.
hollow organ perforation can occur due to : - rupture of the appendix ( a complication of acute appendicitis )
- perforation of the stomach or duodenal ulcers
- ulceration of lymphoid plaque in typhoid fever
- damage to the intestinal wall foreign body
- bowel necrosis hernia
- perforation cancer and other reasons.

not bringing relief
muscle tension anterior abdominal wall
sharp pain when pressing on the anterior abdominal wall
frenikus symptom
Mendel symptom
a symptom of the Resurrection Blumberg - SHCHetkina symptom
Symptom imaginary well-being - after perforation the patient feels severe pain , then the pain subsides as receptors on the peritoneum adapt , but after 1-2 hours the pain appears with a bang , as the inflammation of the peritoneum

acute;
chronic.

By the nature of infection :
primary ( infection or hematogenous lymphogenous ) ;
secondary ( infection due to injuries and surgical diseases of the abdominal cavity)

According to microbiological characteristics :
microbial (bacterial ) ;
aseptic;

By the nature of exudate :
- serous;
- fibrinous ;
purulent;
hemorrhagic.

on its cause , but in all cases during the operation adhere to the same algorithm : shows the execution of laparotomy , insulation performance , or removing the source of peritonitis , the implementation of intra- and post-operative rehabilitation of the abdominal cavity , to ensure intestinal decompression .