Diverticular Disease Flashcards

1
Q

what is diverticular disease?

A

presence of symptoms from diverticular (mucosal herniation through muscle coat)

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2
Q

where do you usually find diverticular disease?

A

sigmoid colon (less muscular)

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3
Q

cause of DD?

A

low fibre intake

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4
Q

what is diverticulitis?

A

inflammation of one or more diverticulae

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5
Q

primarily a disease of the ?

A

elderly

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6
Q

when do the muscles have to work harder in the colon to move faeces along, which results in diverticular disease?

A

lack of fibre

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7
Q

symptoms of diverticular disease?

A

diarrhoea or constipation, LIF pain

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8
Q

what can diverticular disease be mistaken for?

A

appendicitis

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9
Q

when can it be life threatening?

A

perforation

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10
Q

where can you get fistulation to

A

bladder and small intestine

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11
Q

what is the investigation of choice, but when should it not be used?

A

barium enema, should not be used if there are active complications

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12
Q

in acute diverticultis, CRP and ESR?

A

raised

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13
Q

treatment of acute diverticulitis?

A

metronidazole (anaerob cover) fluids and analgesia

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14
Q

what do you need to be careful of in terms of analgesia?

A

analgesia causing constipation

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15
Q

what are the names of the bands of longitudinal muscle that stretch the length of the large intestine

A

Taeniae Coli

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16
Q

what should you recommend after incidental finding of diverticular disease?

A

high fibre diet and plenty of fluids

17
Q

what is meckles diverticulum?

A

congenital bulge in small intestine

18
Q

diverticular disease, abdominal pain, also referred to right shoulder, fever and circulatory collapse, abdominal tenderness and rigidity?

A

ruptured abcess (surgical emergency)