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SINDROMUL PERITONEAL Prof. Nursing  Asist.Med.Mrd. Ec Cristina Chiriac

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Page 1: Sindromul Peritoneal

5/17/2018 Sindromul Peritoneal - slidepdf.com

http://slidepdf.com/reader/full/sindromul-peritoneal 1/38

 

SINDROMUL

PERITONEALProf. Nursing

 Asist.Med.Mrd.Ec Cristina Chiriac

Page 2: Sindromul Peritoneal

5/17/2018 Sindromul Peritoneal - slidepdf.com

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Peritoneul

►Mezoteliul ce căptuşeşte cavitateaperitoneală şi conţinutul acesteia 

►Derivă din celomul primitiv (mezoderm) 

►Suprafaţă totală la adult 2 m²

►Membrană de transfer pasiv 

►Sistem imun de apărare propriu 

Page 3: Sindromul Peritoneal

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 Aspect laparoscopic

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Page 4: Sindromul Peritoneal

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Peritonite:DEFINIŢIE 

►Inflamaţia peritoneului localizată saugeneralizată secundară: 

►Exsudaţiei  – fenomene de tip inflamatorseptic sau aseptic

- proliferative

►

Traumatice►Blocaj limfatic

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 Aspect laparoscopic

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5/17/2018 Sindromul Peritoneal - slidepdf.com

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Clasificare

Primare – infecţia primară a unei ascite fărăo sursă evidentă 

Secundare – de la o sursă definită prinleziuni ale organelor acoperite de peritoneu

Forme particulare:

► Acută supurată 

►Granulomatoasă 

►Chimică aseptică 

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Germeni

Gram negativi marea majoritate

►E. coli

►K. pneumoniae

 

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Cauze frecvente

►Ulcer perforat

► Apendicită acută 

►Diverticulită ►SEU

►Cancere perforate

►Traumatice►Intervenţionale sau chirurgicale 

 

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http://rds.yahoo.com/_ylt=A9iby4c_cVBG21AAtkKJzbkF;_ylu=X3oDMTBxcWRybXI1BHBvcwM1NQRzZWMDc3IEdnRpZANJMDY2Xzg4/SIG=1ia7b16n3/EXP=1179763391/**http%3A//images.search.yahoo.com/search/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dperitoneum%2526ei%253DUTF-8%2526fr%253Dslv8-msgr%2526b%253D41%26w=1280%26h=954%26imgurl=bmj.bmjjournals.com%252Fcontent%252Fvol323%252Fissue7304%252Fimages%252Flarge%252Fprea1117.f1.jpeg%26rurl=http%253A%252F%252Fwww.gfmer.ch%252Fselected_images_v2%252Fdetail_list.php%253Fcat1%253D18%2526cat3%253D143%2526stype%253Dd%26size=236.7kB%26name=prea1117.f1.jpeg%26p=peritoneum%26type=jpeg%26no=55%26tt=672%26oid=50630192fdc1d324%26ei=UTF-8
http://rds.yahoo.com/_ylt=A9iby4c_cVBG21AAtkKJzbkF;_ylu=X3oDMTBxcWRybXI1BHBvcwM1NQRzZWMDc3IEdnRpZANJMDY2Xzg4/SIG=1ia7b16n3/EXP=1179763391/**http%3A//images.search.yahoo.com/search/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dperitoneum%2526ei%253DUTF-8%2526fr%253Dslv8-msgr%2526b%253D41%26w=1280%26h=954%26imgurl=bmj.bmjjournals.com%252Fcontent%252Fvol323%252Fissue7304%252Fimages%252Flarge%252Fprea1117.f1.jpeg%26rurl=http%253A%252F%252Fwww.gfmer.ch%252Fselected_images_v2%252Fdetail_list.php%253Fcat1%253D18%2526cat3%253D143%2526stype%253Dd%26size=236.7kB%26name=prea1117.f1.jpeg%26p=peritoneum%26type=jpeg%26no=55%26tt=672%26oid=50630192fdc1d324%26ei=UTF-8
http://rds.yahoo.com/_ylt=A9iby4c_cVBG21AAtkKJzbkF;_ylu=X3oDMTBxcWRybXI1BHBvcwM1NQRzZWMDc3IEdnRpZANJMDY2Xzg4/SIG=1ia7b16n3/EXP=1179763391/**http%3A//images.search.yahoo.com/search/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dperitoneum%2526ei%253DUTF-8%2526fr%253Dslv8-msgr%2526b%253D41%26w=1280%26h=954%26imgurl=bmj.bmjjournals.com%252Fcontent%252Fvol323%252Fissue7304%252Fimages%252Flarge%252Fprea1117.f1.jpeg%26rurl=http%253A%252F%252Fwww.gfmer.ch%252Fselected_images_v2%252Fdetail_list.php%253Fcat1%253D18%2526cat3%253D143%2526stype%253Dd%26size=236.7kB%26name=prea1117.f1.jpeg%26p=peritoneum%26type=jpeg%26no=55%26tt=672%26oid=50630192fdc1d324%26ei=UTF-8
http://rds.yahoo.com/_ylt=A9iby4c_cVBG21AAtkKJzbkF;_ylu=X3oDMTBxcWRybXI1BHBvcwM1NQRzZWMDc3IEdnRpZANJMDY2Xzg4/SIG=1ia7b16n3/EXP=1179763391/**http%3A//images.search.yahoo.com/search/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dperitoneum%2526ei%253DUTF-8%2526fr%253Dslv8-msgr%2526b%253D41%26w=1280%26h=954%26imgurl=bmj.bmjjournals.com%252Fcontent%252Fvol323%252Fissue7304%252Fimages%252Flarge%252Fprea1117.f1.jpeg%26rurl=http%253A%252F%252Fwww.gfmer.ch%252Fselected_images_v2%252Fdetail_list.php%253Fcat1%253D18%2526cat3%253D143%2526stype%253Dd%26size=236.7kB%26name=prea1117.f1.jpeg%26p=peritoneum%26type=jpeg%26no=55%26tt=672%26oid=50630192fdc1d324%26ei=UTF-8
http://rds.yahoo.com/_ylt=A9iby4c_cVBG21AAtkKJzbkF;_ylu=X3oDMTBxcWRybXI1BHBvcwM1NQRzZWMDc3IEdnRpZANJMDY2Xzg4/SIG=1ia7b16n3/EXP=1179763391/**http%3A//images.search.yahoo.com/search/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dperitoneum%2526ei%253DUTF-8%2526fr%253Dslv8-msgr%2526b%253D41%26w=1280%26h=954%26imgurl=bmj.bmjjournals.com%252Fcontent%252Fvol323%252Fissue7304%252Fimages%252Flarge%252Fprea1117.f1.jpeg%26rurl=http%253A%252F%252Fwww.gfmer.ch%252Fselected_images_v2%252Fdetail_list.php%253Fcat1%253D18%2526cat3%253D143%2526stype%253Dd%26size=236.7kB%26name=prea1117.f1.jpeg%26p=peritoneum%26type=jpeg%26no=55%26tt=672%26oid=50630192fdc1d324%26ei=UTF-8
http://rds.yahoo.com/_ylt=A9iby4c_cVBG21AAtkKJzbkF;_ylu=X3oDMTBxcWRybXI1BHBvcwM1NQRzZWMDc3IEdnRpZANJMDY2Xzg4/SIG=1ia7b16n3/EXP=1179763391/**http%3A//images.search.yahoo.com/search/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dperitoneum%2526ei%253DUTF-8%2526fr%253Dslv8-msgr%2526b%253D41%26w=1280%26h=954%26imgurl=bmj.bmjjournals.com%252Fcontent%252Fvol323%252Fissue7304%252Fimages%252Flarge%252Fprea1117.f1.jpeg%26rurl=http%253A%252F%252Fwww.gfmer.ch%252Fselected_images_v2%252Fdetail_list.php%253Fcat1%253D18%2526cat3%253D143%2526stype%253Dd%26size=236.7kB%26name=prea1117.f1.jpeg%26p=peritoneum%26type=jpeg%26no=55%26tt=672%26oid=50630192fdc1d324%26ei=UTF-8
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Carcinomatoza

► 

 

http://rds.yahoo.com/_ylt=A9iby4c_cVBG21AAtkKJzbkF;_ylu=X3oDMTBxcWRybXI1BHBvcwM1NQRzZWMDc3IEdnRpZANJMDY2Xzg4/SIG=1ia7b16n3/EXP=1179763391/**http%3A//images.search.yahoo.com/search/images/view%3Fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dperitoneum%2526ei%253DUTF-8%2526fr%253Dslv8-msgr%2526b%253D41%26w=1280%26h=954%26imgurl=bmj.bmjjournals.com%252Fcontent%252Fvol323%252Fissue7304%252Fimages%252Flarge%252Fprea1117.f1.jpeg%26rurl=http%253A%252F%252Fwww.gfmer.ch%252Fselected_images_v2%252Fdetail_list.php%253Fcat1%253D18%2526cat3%253D143%2526stype%253Dd%26size=236.7kB%26name=prea1117.f1.jpeg%26p=peritoneum%26type=jpeg%26no=55%26tt=672%26oid=50630192fdc1d324%26ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
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 Alte cauze

►TB

►Dializa peritoneală 

►

Imunodeprimaţi ►Chimică iatrogenă 

►Biliară 

►Urinară

 

http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
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 Alte cauze

►Mezoteliom

►Pseudomixom

►

Carcinomatoze secundare

 

http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
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Clinica

Durerea

►-punct de plecare

►-difuzare rapidă 

►-lovitură de cuţit 

►-intensă 

►-continuă 

►-tahipnee antalgică 

►-anteflexie

 

http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
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Clinica

Poate fi estompată de antalgiceadministrate anterior!

 

http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
http://images.search.yahoo.com/search/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dperitoneum%26ei%3DUTF-8%26fr%3Dslv8-msgr%26b%3D61&w=504&h=331&imgurl=www-medlib.med.utah.edu%2FWebPath%2Fjpeg4%2FGI222.jpg&rurl=http%3A%2F%2Fwww-medlib.med.utah.edu%2FWebPath%2FNEOHTML%2FNEOPL060.html&size=51.8kB&name=GI222.jpg&p=peritoneum&type=jpeg&no=69&tt=672&oid=40f7c669613cb23a&ei=UTF-8
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Clinica

Simptome de asociere necaracteristice

►- greţuri 

►- vărsături 

►-oprirea tranzitului

►-febră 

►-frisoane

►-anorexie

►-semne de hipovolemie

 

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Page 15: Sindromul Peritoneal

5/17/2018 Sindromul Peritoneal - slidepdf.com

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Clinica Peritonitelor prin perforaţie 

►Examenul obiectiv determinant :

-  Absenţa zgomotelor hidroaerice 

-  Apărare şi contractura musculară(abdomenul de lemn)

- Dispariţia matităţii prehepatice 

- Durere acută la decomprimarea rapidă aabdomenului

 

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► 

 

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Peritonitelor primitive

 Ascita

►Matitate declivă 

►

Deplasabilă pe flancuri ►Semnul valului

►Semnul gheţarului 

 

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 Variante

Peritonite închistate în:

►bursa omentală

►

 spaţiile parietocolice ► spaţiul Morisson 

►fundul de sac Douglas

 

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Page 19: Sindromul Peritoneal

5/17/2018 Sindromul Peritoneal - slidepdf.com

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Laborator

►Leucocitoză cu neutrofilie 

►

Deviere la stînga a formulei leucocitare► VSH accelerată 

►Fibrinogen

►RCP

 

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Page 20: Sindromul Peritoneal

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Examenul lichidului-macroscopic

►Serocitrin

►Hemoragic

►

Purulent►Chilos

►Chiliform

 

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Page 21: Sindromul Peritoneal

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Examenul lichidului-microscopic

Numărătoare elemente 

Tip elemente:

►

-hematii►-leucocite PMN

►-limfocite

►-maligne►-eozinofile

 

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Examenul lichidului-biochimic

►Rivalta

►

Determinăricantitative 

 de proteine, glucoză,amilaze, colesterol, trigliceride, pigmenţibiliari, LDH, etc

 

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Examenul lichidului-cultura

►Medii uzuale

►Medii specifice

 Antibiograma

 

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Radiologic

Pneumoperitoneu

►-imagine radiotransparentă în parteasuperioară a cavităţii peritoneale -subdiafragmatic

Examinare de preferat în ortostatism

 

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CT

 

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Ecografie

 

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Ecografie

 

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Laparoscopia

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► 

 

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Laparotomia

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Diagnosticul

Clinic

Numai pentru confirmare şi paraclinic 

 

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Microscopie

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SINDROMUL MENINGIAN

Sindromul Maffucci

SINDROMUL ADRENOGENITAL

Sindromul Metabolic

Sindromul diGeorge,

Sindromul Down

SINDROMUL ANGELMAN

Sindromul Vascular

Sindromul Asperger

sindromul icteric

Sindromul febril

SINDROMUL HEPATORENAL

Sindromul dispeptic

SINDROMUL CEFALALGIC

Sindromul Vestibular

Sindromul Münchausen

SINDROMUL METABOLIC SINDROMUL METABOLIC

Sindromul Anemic

sindromul edematos

Sindromul cefalalgic

Sindromul HELLP

5. Sindromul Cavitar, Sindromul Mediastinal

UNDERSTANDING PERITONEAL DIALYSIS - Homepage - Fresenius€¦ · UNDERSTANDING PERITONEAL DIALYSIS. 2 ... FRESENIUS MEDICAL CARE PERITONEAL DIALYSIS PERITONEAL ... Automated peritoneal

Sindromul Munchausen

Sindromul d

Sindromul Dupuytren

sindromul extrapiramidal

Sindromul combinatiei

Sindromul hipoton

Sindromul Overlap

sindromul brugada

Sindromul Klinefelter.ppt

sindromul nefritic

SINDROMUL MARFAN

Sindromul Chilaiditi