Diverticular disease Flashcards
1
Q
What section is most commonly affected?
A
Sigmoid
2
Q
What are risk factors?
A
Low fibre diets
Obesity
Use of NSAIDs
Increased age
3
Q
How can diverticulosis present?
A
L abdo pain
Constipation
Rectal bleeding
4
Q
How does acute diverticulitis present?
A
Pain + tenderness in LIF/lower left abdomen
Fever
Diarrhoea
Nausea and vomiting
Rectal bleeding
Palpable abdominal mass (if an abscess has formed)
Raised CRP and WCC
5
Q
How is uncomplicated diverticulitis managed?
A
PO co-amox 5 days
Analgesia
Clear liquids until sx improve
Follow up in 2 days to re review
6
Q
What are complications of diverticulitis?
A
Perforation
Peritonitis
Peridiverticular abscess
Large haemorrhage
fistula
Ileus/obstruction
