diverticular disease Flashcards

1
Q

diverticulum

A

pouch or pocket in bowel wall

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2
Q

diverticulosis

A

presence of diverticula without inflammation or infection

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3
Q

diverticulitis

A

inflammation and infection of diverticula

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4
Q

how to diverticula form

A

circular muscle layer of large bowel has weak points where blood vessels penetrate it

gaps allow mucosa to herinate through –> diverticula

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5
Q

most commonly affected section of bowel

A

sigmoid colon

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6
Q

diverticulosis risk factors

A

age
low fibre
obesity
use of NSAIDs

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7
Q

diverticulosis mx

A

nothing ifasymptomatic

increse fibre
bulk-forming laxatives
surgery

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8
Q

what to avoid in diverticulosis

A

stimulant laxatives e.g. senna

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9
Q

acute diverticulitis presentation

A
pain LIF 
fever
diarrhoea 
N+V
rectal bleed
abdo mass if abscess
raised CRP and WCC
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10
Q

acute diverticulitis Mx - uncomplicated in primary care

A
  • oral co-amoxiclav at least 5 days
  • analgesia (avoid NSAIDs and opiates)
  • only take clear liquids and avoid solid foods until Sx improve
  • follow up < 2days to review
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11
Q

acute diverticulitis Mx - complications or severe pain requiring hosp admission

A
  • NBM or clear fluids only
  • IV antibx
  • IV fluids
  • analgesia
  • urgent Ix e.g. CT
  • urgent surgery if complications
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12
Q

acute diverticulitis complications

A
perforation 
peritonitis 
peridiverticular abscess
large haemorrhage 
fistula 
obstruction
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