Peritonits - inflammation of peritoneum

Peritonits - inflammation of peritoneum Primary | bacterial - inf. acidic fluid, adv. liver disease Secondary - perforated. MOST common. peptic ulcer, volvulus Tertiary - rare Super mk. in immunocompromised pt. S/S: local severe abd pain - rebound tenderness - abd distension - fever - N/V - ↓ BP - sepsis risk Diagnosis: if you see free air on Xray = rupture. CT = perforation Fluid aspirate Cholecystitis - inflamed gallbladder Cause: Stones in gallbladder (cholelithiasis) - stone leaves + biliary duct (chole docolithiasis) Risk Factors: - Female - Fertile - Forty - fair - white - full bodied - obese Calculus Cholecystitis - 90% Acute Cholecystitis involves gallbladder blocking cystic duct. - severe RUQ pain - jaundice - fever - N/V - epigastric distress - pain post food - Urine dark amber - Clay stools - ↑ WBC - ↑ Liver enz. ↑ wbc Diagnosis: EVS, MRCP - glucose tolerant test - ERCP - Fecal fat analysis Tx: NPO, - NG tube - Central bypass - ↑ dig enz. released - TPN & nausea - monitor by 96h Pancreatitis - inflammation of pancreas Premature activation of pancreatic enzymes Risk Stones, Alc use, peptic ulcer, hyperlipidemia - Stenosis, hyperlipidemia S/S: - systemic shock - epigastric abd pain - flank pain - abd distension - fever - ↓ weight - N/V - Cullen's sign - Sepsis risk - ↓ weight - Steatorrhea Diagnosis: EVS, MRCP - glucose tolerant test - ERCP - Fecal fat analysis Tx: NPO, - NG tube - Central bypass - ↑ dig enz. released - TPN & nausea - monitor by 96h how my brain sounds trying to handle nursing school: clinical tuesday exam wednesday lecture wednesday clinical thursday working saturday