Diverticular Disease Flashcards

1
Q

diverticuli are most common in the _______ but can be present over the ____ _____

A

They are most common in the sigmoid but can be present over the whole colon

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2
Q

it is associated with a low ______ ______

A

fibre intake

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3
Q

Asymptomatic in __% of cases

A

Asymptomatic in 95% of cases

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4
Q

what may be the PCs?

A

LIF pain/ tenderness

  • septic
  • altered bowel habit
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5
Q

how is a diagnosis made?

A

colonoscopy

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6
Q

what is the treatment for uncomplicated disease?

A

Well balanced diet (soluble and insoluble fibre) with smooth muscle relaxant if required

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7
Q

what is the treatment for complicated disease or if there is no improvement with diet?

A

surgery

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8
Q

what are the complications ? 5

A
  • perforation
  • abscess
  • haemorrhage
  • fistulae
  • benign stricture
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9
Q

what are the symptoms if there is perforation? this is an emergency

A

ileus, peritonitis ±shock

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10
Q

what are the symptoms if there is abscess formation?

A

swinging fever, leukocytosis

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11
Q

what are the characteristics of haemorrhage ?

A

sudden and painless. Its a common cause of big rectal bleeds

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12
Q

name three fistulae that can form

A

enterocolic, colovaginal, colovesical

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13
Q

what would be the presentation with colovesical fistulae?

A

pneumaturia ± intractable UTIs

may have dysuria

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14
Q

where is the commonest site for perforation in the coln

A

sigmoid

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15
Q

what is the hartmann’s procedure and when may it be done

A

removal of the sigmoid, may be due to perforation

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16
Q

what are the surgical options ? 4

A
  • hartmann’s procedure
  • primary resection/anastomosis
  • percutaneous drainage
  • laparoscopic lavage
17
Q

what is a percuatneous drainage done for?

A

abscess

18
Q

what is a laparoscopic lavage

A

Wash the pus and infection out and keep the patient on broad spectrum antibiotic