Diverticulitis

Question 1

Explain diverticula, diverticulosis, diverticular disease, and diverticulitis?

Answer 1

Diverticula - Outpouching of submucosa
Diverticulosis – no Symptoms
Diverticular disease – Symptoms !!? Cause by inflammation.
Diverticulitis – Inflammation of the diverticula / Infection

Question 2

What is La place law ?

Answer 2

La place law – The sigmoid colon is the smallest diameter and is, therefore, has increased pressure, which is why it’s more susceptible to bursting.

Question 3

What are the symptoms of Dievrticulitis ?

Answer 3

• Lower left quadrant pain
• Mucus
• Constipation
• Diarrhoea

Question 4

Complications of diverticulitis

Answer 4

Complications
- Perforation
- Peritonitis
- Abscess
- Fistula (formation to the bladder)
- Obstruction

Question 5

Diagnosis of diverticulitis ?

Answer 5

Diagnosis
- CT
- Colonoscopy
- Lab tests
- Check for infective diverticulitis via fever, WBC, CRP and ESR

Question 6

Treatment for diverticultiis ?

Answer 6

Treatment
- High fibre diet
- Analgesia
- Antibiotics for complicated diverticulitis (7 Days)

Question 7

What casues diverticulitis

Answer 7

Common
Anaerobes including
- Bacteroides
- Pepto streptococcus
- Clostridium
- Fusobacterium
Facultative anaerobes:
- Escherichia coli (Gram -ve)
- Streptococci (Gram +ve)