DIVERTICULAR DISEASE Flashcards
1
Q
DIVERTICULAR DISEASE
A
small bulges or pockets develop in the lining of the intestine. They often
develop where the muscles are weakest,
2
Q
what is Diverticulosis
A
There is a subsequent rise in intracolonic pressure, leading to outpocketing of the colon.
3
Q
clinical presentation
A
- patients are asymptomatic
2. left lower quadrant abdominal pain that is colicky in nature
4
Q
Diagnosis
A
- colonoscopy
- Diverticula are more common on the left in the sigmoid
- bleeding occurs more often from diverticula on the right
5
Q
TTT
A
increased-fiber diet
6
Q
what is Diverticulitis
A
when one of the bulges or pockets (diverticula) becomes infected
7
Q
How Diverticulitis is distinguished from uninfected diverticula by
A
- fever
- tenderness
- intense pain
- elevated WBCs
8
Q
Diagnosis
A
1.CT scan
2.Barium study and endoscopy are contraindicated
because there is a slightly higher risk of perforation
9
Q
TTT
A
- ciprofloxacin and metronidazole
2. colonoscopy several weeks after recovery to evaluate