Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Gastroenterology > Diverticular Disease > Flashcards

Diverticular Disease Flashcards

1
Q

What is diverticular disease?

A

It is the symptomatic presence of diverticula.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is a diverticula?

A

An outpouching of the bowel wall.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where is a diverticula most likely to occur?

A

Where the blood vessels enter the wall. This is because this is a weak point in the wall.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is diverticulitis?

A

The inflammation of the diverticula.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do diverticula form?

A

Straining of the colon forces the mucosa to herniate through the muscle layers at weak points. It is thought to be due to the lack of dietary fibre in the western world

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does diverticulitis occur?

A

Bits of stool can become lodged in a diverticula and this becomes inflamed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where do most diverticula form?

A

In the descending and sigmoid colon (95%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How many people have diverticulosis in the western world?

A

30% of 60 year olds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How is diverticular disease diagnosed?

A

Often incidentally on colonoscopy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do we confirm diverticulitis?

A

CT scan of abdomen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What do you not do to investigate diverticulitis?

A

Colonoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What investigations do we do in diverticulitis?

A 
Abdo exam
PR exam
FBC - raised WCC, CRP
Full obs - temp
Erect CXR - free air
AXR - free air
CT scan
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the symptoms of diverticular disease?

A

Altered bowel habit

Left sided pain relieve by defecating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the symptoms of diverticulitis?

A 
Altered bowel habit
Left sided pain relieved by defecating
Fever
Rectal bleeding
Generalised peritonism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can we do for diverticular disease?

A

Not much really.
High fibre diet
Anti-spasmodics e.g Mebeverine 135mg TD PO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How do we treat diverticulitis?

A 
Coamoxiclav
OR
Ciprafloxacin and metronidazole if penicillin allergy
Fluids only for 2-3 days
Analgesia
17
Q

What are the complications of diverticulitis?

A 
Perforation
Haemorrhage
Fistulae
Abscesses
Post-infective strictures in colon
18
Q

How doe perforation present?

A

Ileus
Peritonitis
Shock ±

19
Q

What do we do for perforation?

A

Hartmann’s procedure

20
Q

Where can fistulas occur?

A

Enterocolic
Colovaginal
Colovesical

21
Q

What is swinging fever a sign of?

A

Abscess

22
Q

How would a diverticular abscess present?

A

Swinging fever
Leucocytosis
Localising signs

23
Q

What must you remember if you suspect an abscess but can seem to find one?

A

Pus somewhere, pus nowhere = PUS UNDER THE DIAPHRAGM

This is a subphrenic abscess and you need to do an urgent ultrasound

24
Q

When is surgery needed?

A

Generalised purulent peritonitis
Generalised faecal peritonitis

Sometimes:
Pelvic abscess or walled off diverticula

25
Q

What are some indications for surgery in diverticulitis?

A

Stenosis
Fistula
Recurrent bleeding

Gastroenterology (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions