Diverticular Disease Flashcards
what is diverticular disease?
presence of symptoms from diverticular (mucosal herniation through muscle coat)
where do you usually find diverticular disease?
sigmoid colon (less muscular)
cause of DD?
low fibre intake
what is diverticulitis?
inflammation of one or more diverticulae
primarily a disease of the ?
elderly
when do the muscles have to work harder in the colon to move faeces along, which results in diverticular disease?
lack of fibre
symptoms of diverticular disease?
diarrhoea or constipation, LIF pain
what can diverticular disease be mistaken for?
appendicitis
when can it be life threatening?
perforation
where can you get fistulation to
bladder and small intestine
what is the investigation of choice, but when should it not be used?
barium enema, should not be used if there are active complications
in acute diverticultis, CRP and ESR?
raised
treatment of acute diverticulitis?
metronidazole (anaerob cover) fluids and analgesia
what do you need to be careful of in terms of analgesia?
analgesia causing constipation
what are the names of the bands of longitudinal muscle that stretch the length of the large intestine
Taeniae Coli
