diverticular disease Flashcards

1
Q

define diverticular disease

A

Pouches of mucosa extrude through the colonic muscular wall to form diverticula

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2
Q

what are the 4 types of diverticular disease?

A
  1. diverticulum
  2. diverticulosis
  3. diverticular disease
  4. diverticulitis
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3
Q

what is a diverticulum?

A

-an outpouching at perforating artery sites

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4
Q

what is diverticulosis?

A

an asymptomatic outpouch

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5
Q

what is diverticular disease?

A

a symptomatic outpouch

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6
Q

what is diverticulitis?

A

inflammation of outpouch -> infection

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7
Q

what is the pathophysiology of diverticular disease?

A
  1. Herniation of mucosa through weakened muscular walls near BVs.
  2. Can lead to perforation, fistula formation with bladder
    or vagina, intestinal obstruction
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8
Q

what is meckels diverticulum?

A

Paediatric disorder
-Failure of obliteration of vitelline duct
- Rule of 2’s > 2 y/o
-2 inches long
- 2 ft from ileocecal valve

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9
Q

how is meckels diverticulum diagnosed?

A

technitium scan

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10
Q

what are the symptoms of diverticular disease?

A

-LLQ pain
·Constipation
· Fresh rectal bleeding

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11
Q

how is diverticular disease diagnosed?

A
  • CT gold standard
  • abdo/ pelvis
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12
Q

what are the risk factors for diverticular disease ?

A
  • age
  • COPD + Chronic cough
  • increased colon pressure
  • low fibre diet
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13
Q

what are the complications associated with diverticular disease?

A

-SBP (spontaneous bacterial peritonitis)
· Obstruction
· Fistulae

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14
Q

how is diverticulosis treated?

A

nothing , watch and wait

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15
Q

how is diverticular disease treated?

A
  • bulk forming laxatives- ispaghol
  • surgery
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16
Q

how is diverticulitis treated?

A
  • antibiotics and paracetamol
  • iv fluid + liquid food
  • rarely surgery