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GASTROINTESTINAL > DIVERTICULITIS > Flashcards

DIVERTICULITIS Flashcards

1
Q

D/Dx

A

Appendicitis
IBD
Colon CA
IBS
Pseudomembranous colitis
Peritonitis
Obstruction

Renal Colic
Ectopic
Ovarian Torsion
Testicular Torsion

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2
Q

Labs / Imaging

A

CBC
Urinalysis
CRP

CXR - rule out free air.

CT Abdo & Pelvis with IV and Oral contrast

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3
Q

Imaging: indications, type

A

Indications: if no previous episodes, or different episode, failure of treatment

CT with IV and Oral contrast

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4
Q

CT Findings

A

fat stranding around the affected colon

location & size of any abscesses that may require drainage (fluid collections <4cm are usually too small to be drained).

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5
Q

Initial Management: Uncomplicated

A

Liquid Diet
+/- Oral Antibiotics
Analgesia

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6
Q

Antibiotics: Uncomplicated

A

Metronidazole 500 mg PO bid
AND
Ciprofloxacin 500 mg PO bid

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7
Q

Disposition: Uncomplicated

A

Follow up q weekly

Colonoscopy in 6 after resolution if no documented colonoscopy

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8
Q

Initial management: complicated

A

NPO
IVF
Analgesia
Antiemesis
Antibiotics
Surgical Consultation

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9
Q

Complications

A

Abscess
Phlegmon
Perforation
Obstruction
Sepsis / Septic Shock
Fistula

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GASTROINTESTINAL (25 decks)

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