Diverticular disease Flashcards
1
Q
what are diverticula?
A
sac like protrusion of colonic mucosa through muscular wall
2
Q
what is diverticulosis?
A
presence of asymptomatic diverticula
3
Q
what is diverticular disease?
A
symptomatic diverticula in absence of inflammation
4
Q
what is diverticulitis?
A
acute inflammation & infection of diverticula
5
Q
where does it most commonly affect?
A
sigmoid colon
6
Q
risk factors for diverticulosis?
A
- low fibre diet
- obesity
7
Q
epidemiology?
A
incidence increases w advancing age
8
Q
Symptoms of diverticulitis?
A
- abdo pain
- tenderness in LIF
- fever
other symptoms:
- change in bowel habit
- nausea
- anorexia
- urinary frequency
9
Q
Ix for
- diverticular disease
- diverticulitis
A
- diverticular disease
- colonoscopy
- diverticulitis
- CT abdo pelvis w contrast
10
Q
Mx of diverticulitis
A
- consider admission if unwell
Abx- co amoxiclav
analgesia - paracetamol
IV fluids
- may require surgical resection if severely septic / peritonitic
- advise high fibre diet
11
Q
complications?
A
- haemorrhage
- perforation
- abscess
- fistula
- ileus / obstruction due to strictures formed
