Peritonitis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The main manifestations of peritonitis are acute '''abdominal [[abdominal pain|pain]], [[abdominal tenderness|tenderness]], and [[abdominal guarding|guarding]]''', which are exacerbated by moving the peritoneum, e.g. coughing, flexing the hips, or eliciting the[[Blumberg sign]] (a.k.a. [[rebound tenderness]], meaning that pressing a hand on the abdomen elicits pain, but releasing the hand abruptly will aggravate the pain, as the peritoneum snaps back into place). | The main manifestations of peritonitis are acute '''abdominal [[abdominal pain|pain]], [[abdominal tenderness|tenderness]], and [[abdominal guarding|guarding]]''', which are exacerbated by moving the peritoneum, e.g. coughing, flexing the hips, or eliciting the [[Blumberg sign]] (a.k.a. [[rebound tenderness]], meaning that pressing a hand on the abdomen elicits pain, but releasing the hand abruptly will aggravate the pain, as the peritoneum snaps back into place). | ||
'''Abdominal pain & tenderness:''' The localisation of these manifestations depends on whether peritonitis is localised (e.g. [[appendicitis]] or [[diverticulitis]] before perforation), or generalised to the whole [[abdomen]]; even in the latter case, pain typically starts at the site of the causing disease. Peritonitis is an example of [[acute abdomen]]. | '''Abdominal pain & tenderness:''' The localisation of these manifestations depends on whether peritonitis is localised (e.g. [[appendicitis]] or [[diverticulitis]] before perforation), or generalised to the whole [[abdomen]]; even in the latter case, pain typically starts at the site of the causing disease. Peritonitis is an example of [[acute abdomen]]. | ||
Revision as of 16:25, 6 February 2012
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Peritonitis Main Page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The main manifestations of peritonitis are acute abdominal pain, tenderness, and guarding, which are exacerbated by moving the peritoneum, e.g. coughing, flexing the hips, or eliciting the Blumberg sign (a.k.a. rebound tenderness, meaning that pressing a hand on the abdomen elicits pain, but releasing the hand abruptly will aggravate the pain, as the peritoneum snaps back into place).
Abdominal pain & tenderness: The localisation of these manifestations depends on whether peritonitis is localised (e.g. appendicitis or diverticulitis before perforation), or generalised to the whole abdomen; even in the latter case, pain typically starts at the site of the causing disease. Peritonitis is an example of acute abdomen.
Collateral manifestations
- Diffuse abdominal rigidity ("washboard abdomen") is often present, especially in generalised peritonitis;
- Fever;
- Sinus tachycardia;
- Development of ileus paralyticus (i.e. intestinal paralysis), which also causes nausea and vomiting;
References
da:Peritonitis de:Peritonitis it:Peritonite nl:Buikvliesontsteking fi:Peritoniitti sv:Bukhinneinflammation