Diverticulitis

Question 1

Diverticulitis

Answer 1

Information on localize perforation of one or more diverticula with abscess formation

Question 2

Diverticulitis causes/incidence

Answer 2

Higher incidence in those with low dietary fiber

More common in women than men

Question 3

Diverticulitis signs/symptoms

Answer 3

A mile to moderate aching abdominal pain in lower left quadrant

Constipation or loose stools may be present

Nausea and vomiting

Question 4

Diverticulitis physical exam

Answer 4

Low-grade fever
LLQ tenderness to palpation
Patients with free perforation present with a more dramatic picture or paritoneal signs

Question 5

Diverticulitis lab/diagnostics

Answer 5

Mild to moderate leukocytosis
Elevated ESR
Stool heme positive in 25% of cases
Sigmoidoscopy shows inflamed mucosa
May consider CT scan to evaluate abscess
**Plain abdominal films are obtained in all patients to look for evidence of free air

Question 6

Diverticulitis inpatient management

Answer 6

NPO dependent on condition
IV fluids to maintain hydration
If significant G.I. bleeding is present, treat as outlined under PUD
20 to 30% of patients will require surgical management