diverticular disease Flashcards
diverticula
pouches in the bowel wall
usual size of diverticula
0.5-1cm
diverticulosis
presence of diverticula with no symptoms
diverticulitis
inflammation of diveritcula
is diverticulosis common?
yes - very common as people age
risk factors
low fibre and obesity
signs and symptoms - diverticulitis
left iliac fossa/lower abdominal pain fever diarrhoea PR blood/mucus nausea and vomiting
diverituclitis management
antibiotics
analgesia
fluids
surgical resection
diverticulitis complications
haemorrhage perforation abscess fistula ileus
location
sigmoid colon - entry of perforating arteries
investigations
incidental on colonoscopy
CT abdomen - diverticulitis
AXR
symptoms diverticular disease
altered bowel habit
left sided colic pain relieved by defaecation
flatulence
nausea
treatment diverticular disease symptom control
antispasmodics - mebeverine 135mg/8h