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Gastrointestinal Conditions (JBR) > Diverticula (Meckel's, Diverticulitis, Diverticular Disease) > Flashcards

Diverticula (Meckel's, Diverticulitis, Diverticular Disease) Flashcards

1
Q

What is diverticulosis?

A

Asymptomatic diverticula

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2
Q

What is diverticula disease?

A

Symptomatic diverticula

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3
Q

What is diverticulitis?

A

Inflammation/infection of diverticula

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4
Q

What is Meckel’s Diverticulum?

A

Remnant of the vitello-intestinal/omphalo-mesenteric duct

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5
Q

What is the rule of 2’s for Meckel’s?

A

2 feet above IC valve
2 inches long
2% of people

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6
Q

Diverticualr disease i the large bowel is related to?

A

Low fibre diet
Increased intraluminal pressure
Weakness of colon wall

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7
Q

What is the gross appearance of diverticula?

A

Hypertrophy of muscularis propria with several diverticula

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8
Q

What is a false diverticulum?

A

Includes serosa + mucosal layers

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9
Q

What is a true diverticulum?

A

Includes all layers

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10
Q

What causes diverticulitis?

A

If the diverticula are blocked with bacteria, faeces, etc. it causes inflammation

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11
Q

What are risk factors for diverticula?

A 
Age
Obesity
Low dietary fibre
Smoking 
NSAIDs
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12
Q

How does diverticulosis present?

A

Usually incidental finding

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13
Q

How does diverticula disease present?

A

may present with lower abdominal pain (usually left-sided) - often incidental

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14
Q

How does diverticulitis present?

A 
Abdominal pain (especially LIF)
Pyrexia
Neutrophilia 
Bloating 
Constipation
Pain exacerbated by eating and diminished by defecation, flatus or PR bleeding
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15
Q

What are complications of diverticula?

A

Rupture/bleed
Fistula
Peritonitis
Stricture/Obstruction

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16
Q

What can cause a diverticulum to rupture/bleed?

A 
Haematochezia 
Ulcer
Diverticulitis
Obstruction
Malignant change
17
Q

How do you investigate diverticula?

A

Colonoscopy

18
Q

How do you manage diverticula?

A 
High fibre diet
good hydration
Bulk-forming laxative if poor fibre diet
Paracetamol
Mesalazine

Gastrointestinal Conditions (JBR) (33 decks)

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