Diverticulosis

Question 1

The type of diverticulum most commonly affecting the colon is the

Answer 1

pseudo diverticulum.

Question 2

The diverticula occur at the point where the……………., penetrates through the muscularis propria, resulting in a breakinthe integrity of the colonic wall.

Answer 2

Nutrient artery, or vasa recta =المجرم

Question 3

Diverticula commonly affect the…………………; and the………….. is always spared.

However, in Asian populations, 70%of diverticula are seen in the…………… as well.

Answer 3

left and sigmoid colon /rectum

right colon and cecum

Question 4

most common cause of hematochezia in patients >60 years

Answer 4

Hemorrhage from a colonic diverticulum

Question 5

Patients at increased risk of bleeding 🩸

Answer 5

Hypertensive
Atherosclerosis
Regularly using anti thrombosis +NSAIDs
DM
Obesity

Question 6

Initial localization of diverticular bleeding may include…………………..

If the patient is stable, ongoing bleeding is best managed by……………

Answer 6

colonoscopy
multiplanar (CT) angiogram, or
nuclear medicine tagged red cell scan

angiography

Question 7

Symptoms of……………. may mimic those of diverticulitis.
دوو سهله گه 🤗🤗🤗🤗🤗🤗🤗

Others that may also mimic

Answer 7

Irritable bowel syndrome

ovarian cyst, endometriosis, acute appendicitis, and pelvic inflammatory disease.

Question 8

Diverticular disease
Diagnosis is best made on a……………

Answer 8

لازم fever + leukocytosis

contrast-enhanced (abdominal and pelvic) CT scan

Question 9

colonoscopy should be performed~………….. after an attack of diverticular disease

Answer 9

6weeks

Question 10

Perforated diverticular disease is staged using the……………. classification system

Answer 10

Hinchey

Question 11

Acute uncomplicated diverticulitis

Answer 11

AKA symptomatic uncomplicated diverticular disease [SUDD])