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A patient with abdominal pain comes to the emergency room. During taking medical history the surgeon notices the patient avoids any activity that stretches or jostles the abdomen. What is the most probable diagnosis of the patient?
renal colic
peritonitis
biliary colic
gastritis
none of the above
Primary peritonitis is more common in
children
young patients between 20-30 years old
patients between 30-40 years old
elderly patients
all ages
What is the diagnosis when there is pneumoperitoneum on a plain radiograph?
gastric outlet obstruction
perforated duodenal ulcer
ceca! volvulus
gastric volvulus
bowel obstruction
Patients with acute peritonitis are usually dehydrated and need large volum i.v. infusions. What is the reason for the dehydration?
loss of liquid in the third space
vomiting
diarrhea
profuse sweating
all of the above
In how many parts (floors) do we divide the peritoneal cavity when we classify generalized peritonitis?
two
three
four
five
six
What is typical for visceral pain?
it is perceived at a site distant from tne source of stimulus
it is harper and better localized
it corresponds to the segmental nerve roots innervating the peritoneum
it is vague and poorly localized
What is typical for parietal pain?
it is sharper and better localized
it is usually the result of distention of a hollow viscus
it is perceived at a site distant from the source of stimulus
What is the method of first choice when we suspect generalized peritonitis?
Plain radiograph
Abdominal ultrasonography
CT of the abdomen
MRI of the abdomen
Diagnostic laparoscopy
What is the most common cause for abcesses in the left subhepatic space?
previous operation on the stomach
acute cholecystitis
acute appendicitis
complicated acute pancreatitis
Why are pelvic abscesses the most common type of intraperitoneal abscess?
the appendix is often pelvic in position
it is common after anastomotic leakage following colorectal surgery
the Fallopian tubes are frequent sites of Infection
it can occur as a sequel to any case of diffuse peritonitis
