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Unformatted text preview: Learning Issue: Peritonitis-MH Dont Miss This: Patient may have rebound tenderness, ascites, epigastric pain (secondary), and sudden onset. Definition: Peritonitis is a life-threatening event that is often accompanied by bacteremia and sepsis syndrome. The cavity is lined with a serous membrane that can serve as a conduit for fluids, a property exploited in peritoneal dialysis. A small amount of fluid is normally present in the peritoneal space, with protein content of, 30 g/L and <300 WBC (generally mononuclear) per microliter. Causes: Primary or spontaneous bacterial peritonitis is without an apparent source of contamination. Secondary peritonitis develops when bacteria contaminate the peritoneum as a result of spillage from an intra-abdominal viscus (i.e. ruptured appendix, ruptured gastric ulcer). The organisms found almost always constitute as mixed flora in which facultative gram negative bacilli and anaerobes predominate, especially when contaminating source is the colon....
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- Fall '10