Causes
- Upper GI
- Perforated peptic ulcer
- Lower GI
- Appendicitis
- Perforation sigmoid diverticulitis
- Perforation
- Hepatobiliary
- Perforation of Gallbladder
- Acute pancreatitis
- Gynaecological
- Rupture ectopic pregancy
Organisms: Bacteroides, E.coli, clostridium, pseudomonas, klebsiella
Peritonism
- Guarding / rebound suggests strangulation or perforation
- Continous pain (rather than colic)
- Tachycardia
- Dehydration
- WCC
- Pyrexia