Spontaneous bacterial peritonitis differential diagnosis: Difference between revisions
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* [[Appendicitis]] - this presents with a typical history of radiation of [[pain]] from [[umbilicus]] to [[McBurney's point]] compared to diffuse pain in [[spontaneous bacterial peritonitis]]. | * [[Appendicitis]] - this presents with a typical history of radiation of [[pain]] from [[umbilicus]] to [[McBurney's point]] compared to diffuse pain in [[spontaneous bacterial peritonitis]]. | ||
* PCT level was higher in advanced Liver cirrhosis patients with SBP than CNNA which indicated it may represent as a simple biomarker for differentiating SBP from CNNA. PCT may be a prognostic predictor to guide the empirical antimicrobial therapy in order to decrease the in-hospital mortality and the frequency of complications. <ref name="WuChen2016">{{cite journal|last1=Wu|first1=Hongli|last2=Chen|first2=Lin|last3=Sun|first3=Yuefeng|last4=Meng|first4=Chao|last5=Hou|first5=Wei|title=The role of serum procalcitonin and C-reactive protein levelsin predicting spontaneous bacterial peritonitis in patients with advanced liver cirrhosis|journal=Pakistan Journal of Medical Sciences|volume=32|issue=6|year=2016|issn=1681-715X|doi=10.12669/pjms.326.10995}}</ref> | * PCT level was higher in advanced Liver cirrhosis patients with SBP than CNNA which indicated it may represent as a simple biomarker for differentiating SBP from CNNA. PCT may be a prognostic predictor to guide the empirical antimicrobial therapy in order to decrease the in-hospital mortality and the frequency of complications. <ref name="WuChen2016">{{cite journal|last1=Wu|first1=Hongli|last2=Chen|first2=Lin|last3=Sun|first3=Yuefeng|last4=Meng|first4=Chao|last5=Hou|first5=Wei|title=The role of serum procalcitonin and C-reactive protein levelsin predicting spontaneous bacterial peritonitis in patients with advanced liver cirrhosis|journal=Pakistan Journal of Medical Sciences|volume=32|issue=6|year=2016|issn=1681-715X|doi=10.12669/pjms.326.10995}}</ref> | ||
{| Class="wikitable" style="border: 2; background: none;" | |||
! rowspan="1" | '''History and symptoms''' | |||
! rowspan="1" | '''Physical findings''' | |||
! rowspan="1" | '''Diagnsostic test''' and '''Lab findings''' | |||
! rowspan="1" | '''Treatment of choice''' | |||
|- | |||
!Peritonitis | |||
!Inflammation of the abdominal viscera | |||
!Perforation of hollow viscous | |||
!Obstruction | |||
!Vascualar disorders | |||
!Intra-abdominal abscess | |||
|} | |||
==References== | ==References== | ||
Revision as of 20:34, 23 January 2017
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Spontaneous bacterial peritonitis Microchapters |
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Differentiating Spontaneous bacterial peritonitis from other Diseases |
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Diagnosis |
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Treatment |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
Spontaneous bacterial peritonitis must be differentiated from other diseases that cause fever and abdominal pain, such as peritonitis, pyelonephritis, and appendicitis.
Differentiating Spontaneous bacterial peritonitis from other Diseases
Spontaneous bacterial peritonitis presents as fever and pain in the abdomen. These symptoms may also be seen in other abdominal conditions such as:
- Peritonitis - this presents as abdominal pain with guarding which is seldom seen in spontaneous bacterial peritonitis.
- Pyelonephritis - this presents as pain in the costovertebral angle.
- Appendicitis - this presents with a typical history of radiation of pain from umbilicus to McBurney's point compared to diffuse pain in spontaneous bacterial peritonitis.
- PCT level was higher in advanced Liver cirrhosis patients with SBP than CNNA which indicated it may represent as a simple biomarker for differentiating SBP from CNNA. PCT may be a prognostic predictor to guide the empirical antimicrobial therapy in order to decrease the in-hospital mortality and the frequency of complications. [1]
| History and symptoms | Physical findings | Diagnsostic test and Lab findings | Treatment of choice | ||
|---|---|---|---|---|---|
| Peritonitis | Inflammation of the abdominal viscera | Perforation of hollow viscous | Obstruction | Vascualar disorders | Intra-abdominal abscess |
References
- ↑ Wu, Hongli; Chen, Lin; Sun, Yuefeng; Meng, Chao; Hou, Wei (2016). "The role of serum procalcitonin and C-reactive protein levelsin predicting spontaneous bacterial peritonitis in patients with advanced liver cirrhosis". Pakistan Journal of Medical Sciences. 32 (6). doi:10.12669/pjms.326.10995. ISSN 1681-715X.