UTHSC PA Program Podcast

Gastrointestinal - Peritonitis


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In this episode, we review peritonitis, a medical and surgical emergency characterized by acute inflammation of the peritoneum with high risk of sepsis and shock. We break down the different types—spontaneous bacterial peritonitis (SBP), secondary peritonitis, peritoneal dialysis–related infection, and tertiary peritonitis—along with their distinct mechanisms and management strategies. The discussion highlights key diagnostic steps, including the critical role of paracentesis, and emphasizes early empiric antibiotics and timely source control when indicated.

References

1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.

2) Kumar D, Garg I, Sarwar AH, Kumar L, Kumar V, Ramrakhia S, Naz S, Jamil A, Iqbal ZQ, Kumar B. Causes of Acute Peritonitis and Its Complication. Cureus. 2021 May 28;13(5):e15301. doi: 10.7759/cureus.15301. PMID: 34221758; PMCID: PMC8237913.

3) Clements TW, Tolonen M, Ball CG, Kirkpatrick AW. Secondary Peritonitis and Intra-Abdominal Sepsis: An Increasingly Global Disease in Search of Better Systemic Therapies. Scandinavian Journal of Surgery. 2021;110(2):139-149. doi:10.1177/1457496920984078

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UTHSC PA Program PodcastBy Kristopher Maday, PA-C, DFAAPA