Acute Inflammatory Intestinal Disorders

Question 1

In diverticular disease, they will

Answer 1

Bulge / pooch out

Question 2

Diverticulars are mainly where?

Answer 2

Colon (95% sigmoid colon), but can happen anywhere

Question 3

Diverticulum

Answer 3

Saclike herniation of the lining of the bowel

Question 4

Diverticulosis

Answer 4

Multiple diverticula present, NO inflammation / symptoms

Question 5

Diverticulitis

Answer 5

Infection / inflammation of the diverticulum

Question 6

Risk factors of diverticulitis

Answer 6

Constipation, lack of dietary fiber, obesity, smoking, inactivity

Question 7

S/S of diverticulitis

Answer 7

-guarding, hard belly
-elevated WBC
-electrolytes may be altered
-vomiting
-fever

Question 8

Acute diverticulitis - what to do

Answer 8

Let the colon rest and decrease inflammation

Question 9

For acute diverticulitis, does patient have to go to hospital ? How is it managed?

Answer 9

No, can be managed at home. Clear liquid, bed rest , analgesic / antibiotics

Question 10

Meds for diverticulitis

Answer 10

Antibiotics , ondansetron for nausea, pain meds, IV fluids

Question 11

Complications of diverticulitis

Answer 11

-peritonitis
-abcess
-perforation

Question 12

What is peritonitis?

Answer 12

Inflammation of the peritoneum

Question 13

What will a perforation require?

Answer 13

Procedure that involves resection in involved colon with primary anastomosis

Question 14

Interventions / teaching if admitted to hospital with diverticulitis

Answer 14

-NG tube
-NPO
-check electrolytes
-look for infection
-liquids
-activity
-colostomy, normally 6 mo, then will have a reversal