Diverticular Disease Flashcards

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1
Q

Diverticular Disease is what type of GI disease?

A

Inflammatory disorder

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2
Q

what is diverticular disease?

A

-multiple diverticula in the large intestine, diverticula are bowel protrusions

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3
Q

where does diverticular disease develop

A

in the large intestine but most often in the sigmoid colon

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4
Q

the incidence of diverticular disease increases with ______ because_____

A

age because as tissue ages tends to degenerate causing weakness, not only restricted to elderly

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5
Q

Etiology of Diverticular disease

A
  • Low fibre diet (constipation)
  • Ageing
  • inactivity
  • poor bowel habits (constipation)
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6
Q

when young people have diverticular disease what is one of the places that can cause a weak spot for it to develop

A

a point of entry of a blood vessel to perfuse the gut can cause a weak spot and the gut is richly perfused so many blood vessels

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7
Q

80% of diverticular disease occurs in individuals over the age of

A

85

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8
Q

what are the 2 requirements for diverticula to form

A
  • weakened wall

- increased intraluminal pressure

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9
Q

Patho of diverticula disease

A
  • vessel entry point son bowel wall causes weak spots

- if intraluminal pressure increases mucosa herniates (pushes out) through muscularis externa anddiverticula form

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10
Q

what are the 2 forms of diverticular disease

A
  • diverticulosis

- diverticulitis

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11
Q

suffix osis means

A

formation of something and its deposition

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12
Q

diverticulosis presents itself as

A

-non-inflamed and asymptomatic

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13
Q

diverticulitis presents itself as

A

-inflamed and may become ???? perforated

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14
Q

what is the problem with perforation with diverticulitis

A

perforation can be a major problem because release bacteria waste products and chemicals such as (bilirubin & enzymes) into body cavity causing damage

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15
Q

mnfts of diverticulitis

A
  • dull pain
  • nausea & vomiting (local mnfts)
  • low grade fever (not an infection, cellular damage causes fever (internal pyrogens))
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16
Q

diagnosing

A

CT

17
Q

Treatment

A
  • address etiology and risks (prevention involves proper diet & good bowel habits, avoid constipation)
  • Sx for obstruction or perforation