Diverticular D Flashcards
1
Q
Whats diverticulosis?
A
Presence of diverticula.
Diverticula are common, affecting 50% of population, over 50Y.
2
Q
Whats diverticulitis?
A
Implies inflammation, when faeces obstruct the neck of the diverticulum.
3
Q
Aetiology
A
Related to low fibre diet in western countries.
Leading to ⬆️ intracolonic pressure , vausing herniation of mucosa at sites of weakness.
4
Q
Cliniccal Features
A
Asx in 90%. Discovered incidentally- barium enema or colonoscopy.
Sx- due to bleeding or acute diverticulitis. (LIF pain, fever, N+V, )
5
Q
Complications
A
Abscess formation, Perforation Haemorrhage Fistula formation Intestinal obstruction
Acute Diverticulitis- dx by CT Abdo or USS in some.
6
Q
Mx
A
Acute attacks tx w/ antibiotcs
Ciprofloxacin + metronidiazole
7
Q
Diverticular D
A
Pouches of mucosa extrude through weakend muscular wall ares near blood vessels to for dicerticula.
