inspection-
"Patient is lying supine quietly on the bed"
"why would you say that?"
"patients with peritonitis are usually quiet in the bed as even slight movement exacerbates pain, whereas patients with renal/intestinal colic are restless."
"no surgical scars observed"
"why would you check for that?"
"surgical scars may indicate intestinal adhesion"
visible peristalsis indicates small bowel obstruction
functions of peritoneum-
pain perception via parietal peritoneum
visceral lubrication
fluid and particulate absorbtion
inflammatory and immune responces
fibrinolytic activity
causes of peritoneal inflammatory exudate
bacterial
chemical
ischaemic
direct trauma
allergic
list of chronic liver disease presentation
body hair loss - due to circulating oestrogen secondary to liver malfunction
jaundice
parotid enlargement - don't know why
spider nevi
gynacomastia - circulation of estrogen
palmer erythima
dupyton's contracture
ascites
testicular atrophy
flapping tremours
fetor hepaticus
just some random stuff.
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