Spontaneous bacterial peritonitis history and symptoms

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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] Shivani Chaparala M.B.B.S [3]

Overview

History

A directed history should be obtained to ascertain the precipitant of this condition. A detailed history has to be obtained regarding

  • Previous episodes
  • Onset of symptoms and their progression

Common Symptoms

  • Worsening of pre-existing ascites and progressive encephalopathy in a patient with cirrhotic ascites
  • Diffuse, continuous Abdominal pain is the hallmark of peritonitis, although some may be asymptomatic.
  • Altered mental status may manifest as frank delirium, confusion, or cognitive slowing.

Less common symptoms of SBP

  • Anorexia
  • Obstipation
  • Low urine output
  • Thirst
  • Fatigue
  • Chills
  • Dizziness or weakness


References

  1. "Peritonitis - spontaneous: MedlinePlus Medical Encyclopedia".


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