Secondary peritonitis differential diagnosis: Difference between revisions
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* Main manifestations of [[peritonitis]] are acute abdominal [[Abdominal pain|pain]], [[Abdominal tenderness|tenderness]], and [[Abdominal guarding|guarding]], which are exacerbated by moving the peritoneum, e.g. coughing, flexing the hips, or elicitingthe [[Blumberg sign]] (a.k.a. [[rebound tenderness]]) | * Main manifestations of [[peritonitis]] are acute abdominal [[Abdominal pain|pain]], [[Abdominal tenderness|tenderness]], and [[Abdominal guarding|guarding]], which are exacerbated by moving the peritoneum, e.g. coughing, flexing the hips, or elicitingthe [[Blumberg sign]] (a.k.a. [[rebound tenderness]]) | ||
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* Similar presentation but insidious onset unlike rapid onset in SBP | * Similar presentation but insidious onset unlike rapid onset in [[SBP]] | ||
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!Microorganism | !Microorganism | ||
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!Diagnostic Criteria | !Diagnostic Criteria | ||
|valign=top|SBP is diagnosed in the presence of:<ref name="pmid3729637">{{cite journal| author=Runyon BA, Hoefs JC| title=Spontaneous vs secondary bacterial peritonitis. Differentiation by response of ascitic fluid neutrophil count to antimicrobial therapy. | journal=Arch Intern Med | year= 1986 | volume= 146 | issue= 8 | pages= 1563-5 | pmid=3729637 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3729637 }} </ref> | |valign=top|[[SBP]] is diagnosed in the presence of:<ref name="pmid3729637">{{cite journal| author=Runyon BA, Hoefs JC| title=Spontaneous vs secondary bacterial peritonitis. Differentiation by response of ascitic fluid neutrophil count to antimicrobial therapy. | journal=Arch Intern Med | year= 1986 | volume= 146 | issue= 8 | pages= 1563-5 | pmid=3729637 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3729637 }} </ref> | ||
* Ascitic fluid PMN count of ≥250/mm3 | * Ascitic fluid [[PMN]] count of ≥250/mm3 | ||
* No evident intra-abdominal source of infection | * No evident intra-abdominal source of infection | ||
* Positive ascitic fluid bacterial culture | * Positive ascitic fluid bacterial culture | ||
|Diagnosed in the presence of | |Diagnosed in the presence of | ||
* Positive ascitic fluid bacterial culture | * Positive ascitic fluid bacterial culture | ||
* Ascitic fluid PMN count of ≥250/mm3 | * Ascitic fluid [[PMN]] count of ≥250/mm3 | ||
* Evidence of a source of infection (demonstrated at surgery or autopsy], either intra-abdominal or contiguous with the peritoneal cavity | * Evidence of a source of infection (demonstrated at surgery or autopsy], either intra-abdominal or contiguous with the peritoneal cavity | ||
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Revision as of 03:00, 7 February 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]
Overview
Differential Diagnosis
Characteristic | Spontaneous bacterial peritonitis | Secondary peritonitis |
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Presentaion |
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Microorganism |
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Diagnostic Criteria | SBP is diagnosed in the presence of:[2]
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Diagnosed in the presence of
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Follow-up paracentesis |
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References
- ↑ Runyon BA, Hoefs JC (1984). "Ascitic fluid analysis in the differentiation of spontaneous bacterial peritonitis from gastrointestinal tract perforation into ascitic fluid". Hepatology. 4 (3): 447–50. PMID 6724512.
- ↑ Runyon BA, Hoefs JC (1986). "Spontaneous vs secondary bacterial peritonitis. Differentiation by response of ascitic fluid neutrophil count to antimicrobial therapy". Arch Intern Med. 146 (8): 1563–5. PMID 3729637.
- ↑ Runyon BA (1986). "Bacterial peritonitis secondary to a perinephric abscess. Case report and differentiation from spontaneous bacterial peritonitis". Am J Med. 80 (5): 997–8. PMID 3518442.
- ↑ Akriviadis EA, Runyon BA (1990). "Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis". Gastroenterology. 98 (1): 127–33. PMID 2293571.