Secondary peritonitis history and symptoms

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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

The clinical picture of peritonitis is determined by the nature of the causative lesion, duration and extension of the inflammatory process, and stage of the disease. The main manifestations of peritonitis are acute abdominal pain, tenderness, and guarding, which are exacerbated by moving the peritoneum, e.g. coughing, flexing the hips, or eliciting the Blumberg sign (a.k.a. rebound tenderness, meaning that pressing a hand on the abdomen elicits pain, but releasing the hand abruptly will aggravate the pain, as the peritoneum snaps back into place).

History

Thorough history usually points toward the cause of peritonitis in addition to the risk factors ( Recent abdominal surgery, diverticulitis, peptic ulcer disease, etc).

Symptoms

Common Symptoms

Common symptoms of secondary peritonitis include:[1]

  • Nausea and vomiting can be due to peritoneal irritation or due to the underlying cause (appendicitis, peptic ulcer, etc)

Less Common Symptoms

  • Thirst
  • Chills

References

  1. 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.