Peritonitis. Symptoms

1. ҚР ДЕНСАУЛЫҚ САҚТАУ МИНИСТРЛІГІ С.Д.АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ

Kazakh National Medical University
named 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.

Symptoms
sharply 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 .