Peritonitis history and symptoms: Difference between revisions
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Abdominal pain and tenderness: The localization of these manifestations depends on whether peritonitis is localized (e.g. [[appendicitis]] or [[diverticulitis]] before perforation), or generalized 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 and tenderness: The localization of these manifestations depends on whether peritonitis is localized (e.g. [[appendicitis]] or [[diverticulitis]] before perforation), or generalized 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]]. | ||
== | ==Common Symptoms== | ||
* Diffuse abdominal | * Diffuse, continuous abdominal pain is the hallmark of peritonitis, although some may be asymptomatic. | ||
*Altered mental status may manifest as frank delirium, confusion, or cognitive slowing. | |||
* Diarrhea | |||
* [[Fever]] | * [[Fever]] | ||
* Development of [[ileus|ileus paralyticus]] (i.e. intestinal paralysis), which also causes [[nausea]] and [[vomiting]] | * Development of [[ileus|ileus paralyticus]] (i.e. intestinal paralysis), which also causes [[nausea]] and [[vomiting]] | ||
Revision as of 19:08, 11 January 2017
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Peritonitis Main Page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]
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 and tenderness: The localization of these manifestations depends on whether peritonitis is localized (e.g. appendicitis or diverticulitis before perforation), or generalized 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.
Common Symptoms
- Diffuse, continuous abdominal pain is the hallmark of peritonitis, although some may be asymptomatic.
- Altered mental status may manifest as frank delirium, confusion, or cognitive slowing.
- Diarrhea
- Fever
- Development of ileus paralyticus (i.e. intestinal paralysis), which also causes nausea and vomiting
Common symptoms of SBP
- The classical symptoms of SBP include fever, abdominal pain, and worsening of pre-existing ascites, although these symptoms may be absent in up to one-third of cases.