Diverticulitis

Question 1

Where is the typical site of pain for diverticulitis?

Answer 1

LIF

Question 2

Signs and symptoms of diverticulitis?

Answer 2

> 40, diarrhoea, N/V, fever, tachycardia, tenderness

Question 3

Which investigation will change the management of diverticulitis?

Answer 3

CT- if simple then only need antibiotics, if perforation then antibiotics and percutaneous drainage

Question 4

Which surgical procedure is commonly performed in diverticulitis?

Answer 4

Hartmann’s

Question 5

What is a complication of diverticulitis?

Answer 5

fistula formation into bladder in men and vagina in women

Question 6

Most common site of diverticulitis?

Answer 6

sigmoid

Question 7

Two symptoms of diverticulitis?

Answer 7

altered bowel habit
nausea
flatulence
left-sided colic

Question 8

Three investigations for diverticulitis?

Answer 8

Bloods
Imaging- CXR, AXR, contrast CT
Flexi sigmoidoscopy
Colonoscopy- not in acute attack

Question 9

Surgery done in diverticular disease?

Answer 9

hartmann’s

Question 10

What is the management of diverticular disease?

Answer 10

Admit if unwell

IV fluids, analgesia, antibiotics (cefurozime + met)

Question 11

Name two indications for surgery in diverticular disease

Answer 11

perforation
haemorrhage
stricture- obstruction

Question 12

Three complications of diverticular disease?

Answer 12

perforation
haemorrhage
abscess
fistulae
strictures