5 - Diverticulitis Flashcards

1
Q

Increased risk for diverticulitis

A

Smoking

Obesity

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2
Q

Presentation of diverticulitis

A

LLQ ABD pain
Fever
Leukocytosis

Anorexia

N/V

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3
Q

If pt comes in with a hx of diverticulitis in the past and it looks like they’re having it now:

A

Just treat it

You don’t need to scan em

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4
Q

Differentials for diverticulitis

A

Slide 10

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5
Q

CT for diverticultis

A

Fat straining

Diverticula

Bowel wall thickening >4mm

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6
Q

CT is preferred for:

A

Detecting complications

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7
Q

Txt of diverticulitis varies by:

A

Presentation

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8
Q

Decision tree

A

Slide 14

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9
Q

Txt of diverticulitis

A

Uncomplicated - liquid diet and PO ABX

No advantage of using IV ABX

No need to admit unless its complicated (i.e. abscesses, onbstruction, severe pain, blah blajblajh)

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10
Q

Hinchey Classification

A

Stage 1 to 4

1 - small, confined pericolonic or mesenteric

2 - larger, extending to pelvis

3 - perf, purulent

4 - free perforation, fecal contamination

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11
Q

Phlegmon is

A

Inflammartion and infection without abscess

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12
Q

Abscess that measures less than 4cm and Hinchey stage 1 are often:

A

Admitted for IV ABX and do not require pertcutaneous drainage

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13
Q

Instructions for discharge

A

Clear diet
Oral ABX
Follow up
Return instructions

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14
Q

Admit if:

A
Intractable N/V
Comorbidities
Poor home support
Leukocytosis
High fever
Elderly
Immunocompromoised
Persistent paon
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15
Q

People under 40 with diverticulitis ?

A

On the rise

More virulent

Higher readmission rates

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16
Q

Meckel’s

A

True congenital diverticulum

2% of pop
2ft from ileocecal valve
Symptomatic in 2% of patients

Crampy abd pain
N/V
Bleeding

Often confused with appendicits

Txt - surgical

17
Q

Epiploic appendagaitis

A

Slide 23 - not siure if this matters

18
Q

You know what a person with diverticulitis cant have anymore?

A

Deez nuts