Benign Conditions of the Large Bowel Flashcards
diverticular disease
muscosal herniation through muscle coat
sigmoid colon
low fibre intake
incidental finding
true lumen
main passage of the bowel
diverticulitis - clinical features
LIF pain/tenderness
septic
altered bowel habit
complicated diverticulitis
associated with another illness
pericolic absecess perforation haemorrhage fistula stricture
fistula
communication between two organs
colovesical fistula
fistula between the bowel and the bladder
darker urine
faeces in the urine - unusual
recurrent UTIs
gas
gyaconlogical fistula
cervix and bowel
vagina and bowel
uncomplicated diverticulitis
no IV fluids or fasting (bowel rest)
maybe IV antibiotics
complex diverticulitis
hartmann’s procedure
primary resection/anastomosis
percutaneous drainage
laparoscopic lavage and drainage
acute and chronic colitis
infective colitis, ulcerative colitis, crohns colitis, ischaemic colitis
acute and chronic colitis - symptoms
diarrhoea +/- blood
abdominal cramps
dehydration
sepsis
weight loss
anaemia
acute and chronic colitis - diagnosis
plain x ray
sigmoidoscopy and biopsy
stool cultures
barium enema
ulcerative coliti/crohns
IV fluids
IV steroids
GI rest - fasting
failure =
rescue medical therapy
surgery
ishaemic colitis
elderly
arteriopaths
acute or chronic occlusion
inferior mesenteric artery
colonic angiodysplasia
submucosal lakes of blood
obscure cause of rectal bleeding
usually right side of colon
