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Peritonitis. Symptoms
1. ҚР ДЕНСАУЛЫҚ САҚТАУ МИНИСТРЛІГІ С.Д.АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ
Kazakh National Medical Universitynamed after S.D. Asfendyarov
СHAIR: FOREIGN LANGUAGES DEPARTMENT
PRESENTATION
THEME: PERITONITIS
Worked by: Kolpasheva K.Y
Group: GM 15-23-1
Checked by: Tolebayev T.P
2. Plan:
PLAN:What is peritonitis?
What causes peritonitis ?
Symptoms
Diagnose
Treatments
Conclusion
3.
What is peritonitis?Peritonitis - inflammation of the parietal
and visceral peritoneum leaves , 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.
4.
5.
What causes peritonitis ?Peritonitis is caused by exposure to chemical 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.
6.
Symptomssharply increased pain in the abdomen
fever nausea and vomiting , 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
7.
Classification:• The clinical course :
- 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.
8.
Treatments:Identification of peritonitis warrants
emergency surgery. Medical tactic at peritonitis
depends 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 .