Diverticulitis Flashcards
1
Q
What is diverticulitis?
What are the main causes? (2)
A
It consists of herniation of colonic mucosa through the muscular wall of the colon.
Pericolic abscess
Frank peritonitis
2
Q
Where is the common site at which it occurs?
A
The usual site is between the taenia coli which vessels pierce the muscle to supply the mucosa.
3
Q
Symptoms? (3)
A
Abdominal pain (lower, constant, dull)
Bleeding
Altered bowel habit
Fever
4
Q
Investigations?
A
Bloods: FBC, U&E’s, CRP, G&S
Cultures
CXR (Erect) - perforation
AXR - exclude peroration/obstruction
5
Q
Mx?
A
ABCDE IV analgesia IV fluids Broad spectrum abx NBM Refer to surgeons
