Bill- emergency post reading Flashcards
what causes pain in iliac regions
appendicitis
other name for iliac region
inguinal
what is diverticulosis
when the innermost layer of your digesitve tracts founds weak spots in outer layer and sticks out to form pouches.
two spread patterns of diveritcula
left collon
or all throughout colon
how can you tell if you have diverticulosis?
not easy to tell, not that clear symptoms: constipation, pain, bloating, abdominal cramps
how is diverticulosis diagnosed?
usually when screening for other conditions (colon cancer) with sigmoidoscopy or colonoscopy, can also be seen on ct and barium x ray
treatment of diverticulosis
1) medications that help soften yet bulk stool (faeces) ex. psyllium, methylcellulose, polycarbophil
2) dietary changes: more fiber
is diverticulosis and diverticulitis the same thing?
no, diverticulitis is a complication of diverticulosis: when you had diverticulosis and faeces get trapped in the pouch and you get infected, pain nausea, vommiting, you can treat oral antibiotics but it might get more serious and need hospitalization
other complications of diverticulosis
abscess: puss outside colon
peritonitis: general infection in the lining of the abdominal cavity
ct scans to diagnose, usually hospitalization, IV antibiotics and draining abcess
which is the most common cause of major colonic (i.e., rectal) bleeding in patients who are over 40 years old?
diverticular hemorrhageThis condition is painless, and the bleeding normally stops on its own. But if the bleeding persists, the patient may be hospitalized to receive a blood transfusion — and the gastroenterologist may conduct a colonoscopy to determine if there are any other causes of the bleeding. Radiological procedures or surgery may also be used to stop bleeding that cannot be controlled by other means.
ANOTHer complication which may afflict patients who have had multiple bouts of diverticulitis
colonic obstruction this thickens the walls of the colon. Surgery is sometimes needed to remove the obstruction.
what is pain in the upper right quad usually associated with?
liver or galblader inflammation, stomach peptic ulcers,
pain in upper left quad
malrotation of intestine and colon
right lower quad pain
appendicitis,
left lower quad pain
colitis, pelvic inflammatory disease, inflammatory disease of ovarian cysts in fem