Inflammatory process in the abdominal cavity
The inflammatory process in the abdominal cavity is characterized by a sharp tension of the muscles of the anterior abdominal wall and pain when feeling the abdomen in the area of the inflamed organ. As a rule, Shchetkin-Blumberg symptom is detected. This is one of the most striking and constant signs of inflammation of the peritoneum. Check it as follows. The examiner gently and slowly presses his hand on the anterior abdominal wall and then quickly withdraws his hand. The symptom is considered positive if the patient experiences sharp pain at the time of taking the arm. With intra-abdominal bleeding, along with the phenomena of acute anemia (pallor, weakness, dizziness, cold sweat, weak frequent pulse, decreased blood pressure), some tension of the abdominal muscles, pain on palpation are noted.
If a patient with one of the acute inflammatory diseases of the abdominal organs is not provided with timely assistance, then peritonitis develops (see Ch. Surgical diseases).
First aid. The main task is immediate transportation to the surgical hospital. Prior to this, create a patient rest, put a bubble with ice or cold water on the stomach. It can not be fed, watered, put cleansing enemas, rinse the stomach, give laxatives, as this can contribute to the spread of the inflammatory process. The introduction of narcotic and painkillers is strictly prohibited so as not to obscure the clinical picture, which can lead to improper treatment.