Diverticular Disorders Flashcards

(12 cards)

1
Q

What is Diverticulosis?

A

Outpocketings of the colon

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2
Q

What are common symptoms of Diverticulosis?

A

LLQ abdominal pain
constipation
bleeding
possible infection (Diverticulitis)

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3
Q

Where in the Colon does Diverticulosis occur?

A

It can occur anywhere, but the most common location is the Sigmoid region

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4
Q

What is the most accurate test to diagnose Diverticulosis?

A

Colonoscopy

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5
Q

What is used to decrease the rate of progression and complications from Diverticulosis?

A

Bran, Psyllium, Methylcellulose, and increased dietary fiber

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6
Q

What are common presenting features of Diverticulitis?

A

LLQ Pain and tenderness
Fever, Leukocytosis
Possible Palpable Mass
Nausea, Constipation and bleeding

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7
Q

What is the best initial test to diagnose Diverticulitis?

A

CT scan

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8
Q

How do you treat the first bout of Diverticulitis?

A

Abx to cover E. Coli and Anaerobes

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9
Q

What are possible antibiotic regimens used for Diverticulitis?

A

Ciprofloxacin + Metronidazole or Ceftriaxone + Metronidazole

Beta-lactam/Beta-lactamase Combinations

Ertapenem (Carbapenems)

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10
Q

How do you treat recurrent or refractory Diverticulitis?

A

Resection of the affected loop of bowel

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11
Q

What is the most common complication after Diverticulitis?

A

Abscess formation

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12
Q

What diagnostic tests are dangerous in suspected Diverticulitis?

A

Colonoscopy and Barium Enema: due to increased risk of perforation
–infection weakens the colonic wall

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