- pancreatitis
- hepatitis
- cholagitis
- splenitis
- nephritis
what are some of the causes of an asepctic peritonitis
- neoplasia
- bile
- urine
- blood
-Gastric perforation
- intestinal perforation
- haematogenous
what are some of the causes of a septic peritonitis - external penetrating
- iatrgoenic
- urinary ascension
- POCUS
- free fluid= centesis
- physical apperance of the fluid (spetic vs aseptic)
what can you use to diagnose a peritonitis - measure the glucose in the fluid 1mmol/l less than blood= septic
- measure the lactate of the fluid 2mmol/l more than blodd= septic
- cytology
- diagnostic peritoneal lavage
-depends on the source: surgical removal vs drain +/- lavage if not removable
how can you treat peritonitis - antibiotics if septic: wait for C&S then start vs start with double/triple combination of
antbiotics and then reduce down after C&S
- abdominal distension
what are the clinical signs of a haemoabdomen
- hypovolaemia (shock signs): tachycardia/ponea, pale MM, cold extremitis, dull
- POCUS
- fluid tap and PCV on fluid
how can you diagnose a haemoabdomen - PCV of fluid= PCV of blood= acute haemoabdomen
- PCV of fluid> blood= semi-acute bleed
- PCV of fluid< blood= chronic bleed (neoplaisa)
- hypovolaemic shock = loss of RBC= O2 carry capacity with pO2 (pulse oximetry)
what should you monitor in a case of a haemoabdomen - blood pressure >60mmHg
- lactate should be <2mmol/l
- if there is a poor/no response to a fluid bolus then blood transfusion (auto vs whole blood
vs pRCS+plasma)
how do you treat a haemoabdomen caused by a neoplastic bleed
- surgery +/- chemo/readiotherapy
- euthanasia
- Blunt trauma: fluid bolus/transfusion, then wait (should stop) +/- tranexamic acid (antifo-
brolytic, maintains clots)
how do you treat a haemoabdomen cause by trauma
- penetrating trauma: fluid bolus/transfusion, operate to stop the bleeding, might have to be
a staged surgery (open pack close, reopen and ligate) +/- tranexamic acid
- fluid bolus/transfusion
- Clotting factors in FFP
how can you treat a haemoabdomen that is caused by a coagulopathy
- thrombocytopaenia= Platelet rich palsma (PRP_
- rat posion = vit K + FFP
what is the typical history of a uroabdomen
1/2
- hepatitis
- cholagitis
- splenitis
- nephritis
what are some of the causes of an asepctic peritonitis
- neoplasia
- bile
- urine
- blood
-Gastric perforation
- intestinal perforation
- haematogenous
what are some of the causes of a septic peritonitis - external penetrating
- iatrgoenic
- urinary ascension
- POCUS
- free fluid= centesis
- physical apperance of the fluid (spetic vs aseptic)
what can you use to diagnose a peritonitis - measure the glucose in the fluid 1mmol/l less than blood= septic
- measure the lactate of the fluid 2mmol/l more than blodd= septic
- cytology
- diagnostic peritoneal lavage
-depends on the source: surgical removal vs drain +/- lavage if not removable
how can you treat peritonitis - antibiotics if septic: wait for C&S then start vs start with double/triple combination of
antbiotics and then reduce down after C&S
- abdominal distension
what are the clinical signs of a haemoabdomen
- hypovolaemia (shock signs): tachycardia/ponea, pale MM, cold extremitis, dull
- POCUS
- fluid tap and PCV on fluid
how can you diagnose a haemoabdomen - PCV of fluid= PCV of blood= acute haemoabdomen
- PCV of fluid> blood= semi-acute bleed
- PCV of fluid< blood= chronic bleed (neoplaisa)
- hypovolaemic shock = loss of RBC= O2 carry capacity with pO2 (pulse oximetry)
what should you monitor in a case of a haemoabdomen - blood pressure >60mmHg
- lactate should be <2mmol/l
- if there is a poor/no response to a fluid bolus then blood transfusion (auto vs whole blood
vs pRCS+plasma)
how do you treat a haemoabdomen caused by a neoplastic bleed
- surgery +/- chemo/readiotherapy
- euthanasia
- Blunt trauma: fluid bolus/transfusion, then wait (should stop) +/- tranexamic acid (antifo-
brolytic, maintains clots)
how do you treat a haemoabdomen cause by trauma
- penetrating trauma: fluid bolus/transfusion, operate to stop the bleeding, might have to be
a staged surgery (open pack close, reopen and ligate) +/- tranexamic acid
- fluid bolus/transfusion
- Clotting factors in FFP
how can you treat a haemoabdomen that is caused by a coagulopathy
- thrombocytopaenia= Platelet rich palsma (PRP_
- rat posion = vit K + FFP
what is the typical history of a uroabdomen
1/2
