Sign of PD-related peritonitis?

• A. Cloudy or milky dialysate effluent with abdominal pain or tenderness.
• B. Clear dialysate with no pain.
• C. Fever only without effluent change.
• D. Redness at exit site without effluent changes.

Answer: (A)

PD-related peritonitis typically presents with cloudy (milky) dialysate effluent along with abdominal pain or tenderness. The cloudy effluent is a sign of infection inside the peritoneal cavity, caused by white blood cells responding to invading organisms, and abdominal discomfort reflects inflammation of the peritoneum. This combination is the hallmark of peritonitis. Other signs described—clear dialysate with no pain, fever alone without changes in the effluent, or redness at the exit site without effluent changes—point to different problems (no peritonitis or a local exit-site infection) rather than peritoneal infection.