Diverticular Disease Flashcards

1
Q

Difference between a true diverticula and pseudo

A

True: all parts of the colonic wall: mucosa, submucosa, muscle and serosa

Pseudo: no muscle layer

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2
Q

What is the law of la place

A

Pressure indirectly proportional to diameter of viscus

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3
Q

Where along the colon are diverticula mostly formed and why

A

Sigmoid colon due to law of laplace and the sigmoid colon having the smallest diameter

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4
Q

Imaging test of choice for diverticulitis

A
Ct
Reveal allocation and extent of infection 
Reveals abscess 
Shows involvement of other organs
Bladder fistula
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5
Q

What are the four stages of hinchey classification

A

Stage 1: pericolic abscess
Stage 2: walled off pelvic abscess
Stage 3 purulent peritonitis
Stage 4 fecal peritonitis

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