diverticular disease etc Flashcards
what is diverticulum
outpouching of intestinal mucosa
what is diverticulosis
presence of diverticula
what is diverticular disease
symptomatic diverticula
what is diverticulitis
infection of the diverticulum
features of acute diverticulitis
severe abdominal pain in LLQ
nausea and vomiting
change in bowel habit
urinary frequency, urgency
PR bleeding
what are the signs of diverticulitis
low grade pyrexia
tachycardia
tender LIF
reduced bowel sounds
what are the complications of diverticulitis
colovesical fistula
colovaginal fistula
what investigations are performed for diverticulitis
FBC, CRP, Erect CXR, AXR , CT
mx of acute diverticulitis
oral abx, analgesia, fluids
severe - iv abx
what are the symptoms of diverticular disease
Altered bowel habit
rectal bleeding
Abdominal pain
mx of diverticular disease
increase dietary fibre
manage conservatively with abx
what is the rule of 2’s
for Meckel’s diverticulum
occurs in 2% of the population
is 2 feet from the ileo-caecal valve
is 2 inches long
