Table 1.
Patient Presentations and Outcomes
Patient Characteristics | Vital Signs | Physical Exam | Labarotory Values | CT Findings | Length of Stay after Surgery Consult | Discharge Disposition |
---|---|---|---|---|---|---|
Patient 1: 38 year old man with cirrhosis and unclear etiology of free air |
T: 97.0 P: 94 BP: 92/53 RR:22 |
No AMS Abdomen tender and distended without peritonitis |
WBC: 29.5 Lactate: 5.1 mg/dl |
Large amount of diffuse free air and ascites | 3 | Death |
Patient 2: 52 year old woman with metastatic cancer of unknown primary with erosive gastric mass |
T: 97.4 P: 115 BP: 135/82 RR: 23 |
No AMS Abdomen tender and distended without peritonitis |
WBC: 15.4 Lactate: 4.8 mg/dl |
Moderate diffuse free air throughout abdomen with mass eroding into stomach | 5 | Death |
Patient 3: 76 year old woman with metastatic squamous cell carcinoma with perforation of colonic stent |
T: 97.3 P: 128 BP: 103/55 RR: 21 |
AMS Abdomen tender with peritonitis but non-distended |
WBC: 11.8 Lactate: 2.1 mg/dl |
Moderate amount of diffuse free air throughout abdomen | 1 | Death |
Patient 4: 48 year old man with metastatic melanoma and perforated diverticulitis |
T: 97.8 P: 110 BP: 113/81 RR: 20 |
AMS Abdomen tender, distended with peritonitis |
WBC: 18.2 Lactate: 5.3 mg/dl |
Large amount of diffuse free air throughout abdomen with diverticulitis | 1 | Death |
Patient 5: 46 year old man with metastatic colon cancer and perforation from paracentesis |
T: 98.2 P: 122 BP: 112/67 RR: 26 |
No AMS Abdomen tender and distended without peritonitis |
WBC: 24.2 Lactate: not obtained |
Moderate, diffuse free air throughout abdomen with ascites | 6 | Home Hospice |
Patient 6: 26 year old man with AIDS and small bowel lymphoma with anastomotic breakdown 2 weeks after small bowel resection |
T: 98.2 P: 72 BP: 122/76 RR: 14 |
No AMS Abdomen tender but non-distended without peritonitis |
WBC: 13.4 Lactate: 1.4 mg/dl |
Small amount of diffuse free air throughout abdomen along with small amount of air around anastomosis | 25 | Home Hospice |
Patient 7: 66 year old man with cirrhosis and unresectable hepatoma and perforated diverticulitis |
T: 97.1 P: 89 BP: 99/62 RR: 18 |
No AMS Abdomen tender and distended without peritonitis |
WBC: 12.4 Lactate: 1.8 mg/dl |
Moderate diffuse free air throughout abdomen with ascites | 3 | Inpatient Hospice |
Patient 8: 52 year old man with recurrent duodenal cancer s/p Whipple procedure with perforation of obstructed afferent limb |
T: 99.7 P: 89 BP: 137/77 RR: 19 |
AMS Abdomen distended but non-tender without peritonitis |
WBC: 18.2 Lactate: 0.7 mg/dl |
Moderate diffuse free air throughout the abdomen | 26 | Inpatient Hospice |
T=temperature, P=pulse, BP=blood pressure (in mmHg), RR=respiratory rate, AMS=altered mental status, WBC=white blood cell count (in thousands),