VM 610 Lecture Notes - Lecture 1: Blood Type, Pancreatitis, Coagulopathy

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Peritoneal defenses innate defenses: omental adhesions omentum is the policeman of the ab! it will bind to problem areas to provide adhesive, angiogenic & immunogenic molecules inflammatory response, puts the pt at risk for sirs. 1* peritonitis o rarely what happens except in fip. Might be dt immune system compromised spontaneous inflame of the peritoneal cavity w/ no obvious inciting cause o: bac- rare. G+ w/ a hematogenous spread possibly: usually what happens. Aseptic chemical substance that it irritating to the tissue: gastric acid, bile, pancreatic enzymes, urine. Mechanical & fb; suture, hair, surgical swabs, gossypiboma (gauze left in the ab), cotton, silk, linen starch granulomas: dt surgical glove powder parasitic or protozoal septic- the most common cause! Abdominocentesis needle tap the ab, can do it blindly if there are large volumes of fluid present or w/ us guidance use an 18-20 g needle. A single tap is only diagnostic 20% of the time if done blindly.

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