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| ==Diagnostic Paracentesis== | | ==Diagnostic Paracentesis== |
| {| Class="wikitable" style="border: 2; background: none;"
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| ! rowspan="2" |Causes of acute abdomen
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| ! rowspan="2' |Classification based on etiology
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| ! rowspan="2" | Disease
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| ! colspan="6" rowspan="1" | Symptoms
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| |-
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| ! rowspan="1" | Fever || Jaundice || Abdominal pain location || Abdominal Tenderness || Rebound Tenderness || Bowel Sounds
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| |-
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| | rowspan="8" |'''Commmon Causes of Peritonitis'''
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| | Primary Peritonitis ||Spontaneous Bacterial Peritonitis ||✔ ||✔ || ✔
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| ||✔ ||✔✔
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| *Vulvar edema, [[fissures]], excoriations
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| *Thick, [[curdy]] [[vaginal discharge]]
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| |-
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| | rowspan="7" | Secondary Peritonitis ||Gastric and Duodenal ulcer perforation||<small>—</small>
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| ||✔|| <small>—</small>
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| || <small>—</small>
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| ||<small>—</small>
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| * Fishy odor from the [[vagina]]
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| * Thin, white/gray homogeneous [[vaginal discharge]]
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| * Lack of significant vulvovaginal inflammation
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| |-
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| |Acute Cholangitis||✔|| ✔
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| || ✔
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| || <small>—</small>
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| || ✔
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| * Strawberry [[cervix]]: petechial haemorrhages on the [[ectocervix]], specific to [[trichomoniasis]]
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| * Frothy, [[mucopurulent]], yellow-green or gray [[vaginal discharge]]
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| |-
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| |Acute cholecystitis||✔|| ✔
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| || ✔✔
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| ||✔||✔
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| *Pale and dry vaginal mucosa
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| *Increased friability of the vaginal mucosa with patchy [[erythema]] and [[petechiae]]
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| *Sparsity of pubic hair, fusion of the [[labia minora]], narrow and a shortened vagina
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| |-
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| |Acute Pancreatitis
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| |✔
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| |✔
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| |✔
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| | <small>—</small>
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| |✔
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| *[[Vaginal mucosa]] is red and [[inflamed]], severe [[ecchymotic]] bleeding points and [[ulcers]] can be seen in severe cases
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| *Erosions, [[hyperaemia]], scattered bleeding points and [[ulcers]] can be demonstrated on the [[cervix]]
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| |-
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| |Acute Appendicitis
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| |-
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| |Acute Diverticulitis
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| |-
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| |Acute Salphingitis
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| | rowspan="2" |'''Cervicitis'''
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| |[[Chlamydia infection|Chlamydia]]
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| |✔
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| |✔
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| |✔
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| | <small>—</small>
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| |✔
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| *Cloudy, yellow mucoid discharge from the cervical os<ref name="pmid16669564">{{cite journal| author=Miller KE| title=Diagnosis and treatment of Chlamydia trachomatis infection. | journal=Am Fam Physician | year= 2006 | volume= 73 | issue= 8 | pages= 1411-6 | pmid=16669564 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16669564 }}</ref>
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| *Friable appearance of [[cervix]]
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| *[[Cervical motion tenderness]] may be present<ref name="abc">Chlamydia CDC Fact Sheet. CDC.http://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm#_ENREF_3. Accessed on January 11, 2016</ref>
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| |-
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| |[[Gonorrhea]]
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| |✔
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| |✔
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| |✔
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| |✔
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| | <small>—</small>
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| | <small>—</small>
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| *[[Mucopurulent discharge|Mucopurulent]] [[urethral]], [[cervical]] or [[vaginal]] discharge
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| *Positive [[cervical motion tenderness]]
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| *Friable [[cervical]] [[mucosa]]
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| *[[Abdominal pain]] with negative [[rebound tenderness]]
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| **Lower [[abdominal pain]] (consistent with [[PID]])
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| **Right upper quadrant pain ([[Fitz-Hugh-Curtis syndrome]])
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| *Labial edema and Bartholin’s gland enlargement and tenderness [[Bartholinitis|(Bartholinitis]])
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| |}
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