Diverticular Disorders Flashcards
(12 cards)
What is Diverticulosis?
Outpocketings of the colon
What are common symptoms of Diverticulosis?
LLQ abdominal pain
constipation
bleeding
possible infection (Diverticulitis)
Where in the Colon does Diverticulosis occur?
It can occur anywhere, but the most common location is the Sigmoid region
What is the most accurate test to diagnose Diverticulosis?
Colonoscopy
What is used to decrease the rate of progression and complications from Diverticulosis?
Bran, Psyllium, Methylcellulose, and increased dietary fiber
What are common presenting features of Diverticulitis?
LLQ Pain and tenderness
Fever, Leukocytosis
Possible Palpable Mass
Nausea, Constipation and bleeding
What is the best initial test to diagnose Diverticulitis?
CT scan
How do you treat the first bout of Diverticulitis?
Abx to cover E. Coli and Anaerobes
What are possible antibiotic regimens used for Diverticulitis?
Ciprofloxacin + Metronidazole or Ceftriaxone + Metronidazole
Beta-lactam/Beta-lactamase Combinations
Ertapenem (Carbapenems)
How do you treat recurrent or refractory Diverticulitis?
Resection of the affected loop of bowel
What is the most common complication after Diverticulitis?
Abscess formation
What diagnostic tests are dangerous in suspected Diverticulitis?
Colonoscopy and Barium Enema: due to increased risk of perforation
–infection weakens the colonic wall
