Chapter 121 Intraabdominal Infections and Abscesses (Part 2 ) pptx

... Chapter 121 . Intraabdominal Infections and Abscesses (Part 2 ) Primary (Spontaneous) Bacterial Peritonitis Peritonitis is either primary (without an apparent source of contamination) ... show ascites. Chest and abdominal radiography should be performed in patients with abdominal pain to exclude free air, which signals a perforation (Fig. 121 - 2) . Figure...

Ngày tải lên: 07/07/2014, 04:20

... patients may require surgical intervention without prior imaging. Chapter 121 . Intraabdominal Infections and Abscesses (Part 3) Primary Bacterial Peritonitis: Treatment Treatment for PBP is directed ... (e.g., piperacillin/tazobactam, 3.375 g q6h IV for adults with normal renal function) or ceftriaxone (2 g q24h IV), are also options. Empirical coverage for anaerobe...

Ngày tải lên: 07/07/2014, 04:20

... (WBCs, Chapter 121 . Intraabdominal Infections and Abscesses (Part 1) Harrison's Internal Medicine > Chapter 121 . Intraabdominal Infections and Abscesses Intraabdominal Infections and ... synthesis. Figure 121 - 1 space, a predictable series of events takes place. Intraabdominal infections occur in two stages: peritonitis and if t...

Ngày tải lên: 07/07/2014, 04:20

... not, and this organism is the most common pathogen in overt exit-site infections. Gram-negative bacilli and fungi such as Candida spp. are also found. Vancomycin-resistant enterococci and vancomycin-intermediate ... complication of abdominal surgeries. These infections may be accompanied by localizing pain and/ or nonlocalizing symptoms such as fever, malaise, anorexia, and toxi...

Ngày tải lên: 07/07/2014, 04:20

... polysaccharide A (PSA), evoke a host response in the peritoneal cavity that localizes bacteria into Chapter 121 . Intraabdominal Infections and Abscesses (Part 5) Intraperitoneal Abscesses Abscess ... colonic flora, is the anaerobe most frequently isolated from intraabdominal infections, is especially prominent in abscesses, and is the most common anaerobic blo...

Ngày tải lên: 07/07/2014, 04:20

... routinely required. Chapter 121 . Intraabdominal Infections and Abscesses (Part 6) Diagnosis Scanning procedures have considerably facilitated the diagnosis of intraabdominal abscesses. Abdominal ... Intraperitoneal Abscesses: Treatment An algorithm for the management of patients with intraabdominal (including intraperitoneal) abscesses is presented in Fig....

Ngày tải lên: 07/07/2014, 04:20

... Gastroenteritis. Philadelphia, Current Medicine, 1996, Fig. 1 .22 .] Chapter 121 . Intraabdominal Infections and Abscesses (Part 7) Fever is the most common presenting sign of liver abscess. ... patients Liver Abscesses: Treatment (Fig. 121 - 3) While drainage—either percutaneous (with a pigtail catheter kept in place) or surgical—is the mainstay of therapy for...

Ngày tải lên: 07/07/2014, 04:20

... Chapter 121 . Intraabdominal Infections and Abscesses (Part 8) Splenic Abscesses Splenic abscesses are much less common than liver abscesses. The incidence of splenic abscesses ... associated infection (Chap. 11 8). Splenic abscesses can develop in patients who have received extensive immunosuppressive therapy (particularly those with malignancy glands are...

Ngày tải lên: 07/07/2014, 04:20

... Chapter 121 . Intraabdominal Infections and Abscesses (Part 9) Candida spp. can cause renal abscesses. This fungus may spread to the kidney ... organism. Perinephric and Renal Abscesses: Treatment Treatment for perinephric and renal abscesses, like that for other intraabdominal abscesses, includes drainage of pus and antibiotic therapy ... Peritonitis and...

Ngày tải lên: 07/07/2014, 04:20

... messengers of threats to tissue injury but also play an active role in Chapter 0 12. Pain: Pathophysiology and Management (Part 2) Sensitization When intense, repeated, or prolonged stimuli are ... terminals when they are activated (Fig. 12- 2). An example is substance P, an 11- amino-acid peptide. Substance P is released from primary afferent nociceptors and has multiple...

Ngày tải lên: 06/07/2014, 08:20