Diverticular Disorders Flashcards
1
Q
Diverticulosis Cx Fx
A
asymptomatic most of the time. Patients may present with left lower quadrant abdominal pain, constipation, bleeding, and sometimes infection (diverticulitis).
2
Q
Diverticulosis Dx
A
most accurate test is colonoscopy. Barium studies are acceptable, but not as
accurate.
3
Q
Diverticulosis Management
A
Bran, psyllium, methylcellulose, and increased dietary fiber are used
to decrease the rate of progression and complications.
4
Q
Diverticulitis Dx
A
NOT colonoscopy nor barium
Clinic! + CT scan
- Left lower quadrant pain and tenderness
- Fever
- Leukocytosis
- Palpable mass sometimes occurs
5
Q
Diverticulitis best initial test
A
ct scan
6
Q
Diverticulitis tx
A
atb for E.coli and anaerobes
Ciprofloxacin+metronidazole OR Amoxicillin/clavulanate Ticarcillin/clavulanate or piperacillin/tazobactam Ertapenem (carbapenems)
7
Q
in Diverticulitis , Surgery is the answer when there is:
A
No response to medical therapy
Frequent recurrences of infection
Perforation, fistula formation, abscess, strictures, or obstruction
8
Q
if xrays “kub” shows loops of small bowel and air fluid levels, what’s that?
A
obstruction. go to Qx!
