Diverticular disease

Question 1

Colonic diverticulum= ___ of the __ and sub __ through the weakened ___colon border

Answer 1

herniation
mucosa
submucosa
muscular

Question 2

True diverticulum= an intestinal pocket with all the layers of the colon border (eg __ or __).

Answer 2

Meckel

appendix

Question 3

Colon diverticulum is actually considered as ___ since the ___ layer is not involved

Answer 3

pseudodiverticula

muscular

Question 4

The diverticulum occurs where the ___ penetrate through the __ layer of the colon. It happens only between ___ tenia to one of the two other on each side, It will never happen in the anti ___ side

Answer 4

artery
muscular
mesenteric
mesenteric

Question 5

Diverticulosis is defined as the presence of a number of ____ and can be ___ or not

Answer 5

diverticula

symptomatic

Question 6

The reasons for diverticula is ___ diet, low on ___, leading to long transit ___ time, bringing the intraluminal resting pressure to ___ levels

Answer 6

Western
fibers
colonic
high

Question 7

The reason for the fact there are no diverticula in the rectum is that it surrounded by 360 degrees of longitude ___

Answer 7

muscles

Question 8

Diverticula are uncommon in ___ patients, but 2/3 of patients at the age of __ have it.

Answer 8

young

80

Question 9

The common areas diverticula are found are in the __ and __ colon

Answer 9

sigma

descending

Question 10

The two manifestations of diverticular disease are: __ and __

Answer 10

bleeding

diverticulitis

Question 11

Diverticular bleeding is ___ and can be seen as ___

Answer 11

painless

hematochezia

Question 12

Diverticulitis is an ___ of the colonic diverticulum. Usually in the __ or __ colon. Found in -% of people with diverticula.

Answer 12

inflammation
descending
sigma
5-15%

Question 13

In diverticulitis, there are micro ___, fecal extravasation, peri___ infection. The disease is extra___.

Answer 13

perforation
colic
luminal

Question 14

The inflammation in diverticulosis is caused by ___ blocking the ___ of the diverticulum, coupled with __-__ limited to the ___.

Answer 14

Fecalith
neck
micro-perforation
mesocolon

Question 15

The common clinical presentation of diverticulitis is ___ pain in the __ area with localized ___ sensitivity , __+__.

Answer 15

acute
LLQ
peritoneal
fever + leukocytosis

Question 16

Less common diverticulitis signs may include: (5)

Answer 16

nausea
vomiting
ileus
diarrhea

Question 17

Most diverticulitis patients will not suffer from ___, be managed ___, and most likely (__%) will not experience future __

Answer 17

complications
conservatively
80%
relapse

Question 18

Complicated diverticulitis may include: (4)

Answer 18

abscess
fistula
perforation
bowel obstruction

Question 19

In order to diagnose diverticulitis, we usually use __. It will help us to differentiate between ___ cases.

Answer 19

CT

complicated

Question 20

Diverticulitis has a complete C/I for ___ enema, and ___

Answer 20

barium

colonoscopy

Question 21

למחוק

Answer 21

למחוק

Question 22

Large mesenteric abscess (>=__cm) will require __ and __ guided __

Answer 22

4
Abx
CT
drainage

Question 23

Where diverticula can create fistulas to? (3)

Answer 23

bladder
vagina
sigma

Question 24

HINCHEY classification:

class1: small localized peri__/__ __ . Treatment- __ +/- percutaneous __

Answer 24

abscess
colonic/mesenteric
Abx
drainage

Question 25

HINCHEY classification:

class2: Large localized __ __. Treatment- ___ + percutaneous ___ or surgical ___

Answer 25

pelvic
abscess
Abx
drainage
exploration

Question 26

HINCHEY classification:

class3: Generalized ___ ___. Treatment- LAP __ and conservative ___. If it gets complicated- ___

Answer 26

purulent 
peritonitis 
lavage
monitoring
Hartman

Question 27

HINCHEY classification:

class4: Generalized ___ ___. Treatment- ___

Answer 27

fecal
peritonitis
Hartman

Question 28

Patients with complicated abscess diverticulitis are now advised to go through ___ surgery and __ the sick colon __ weeks after the abscess has been drained

Answer 28

elective
remove
6