Diverticulosis and Diverticulitis

Question 1

asymptomatic multiple out-pouching of the intestinal mucosa WITHOUT INFLAMMATION, common site: Sigmoid colon

Answer 1

Diverticulosis

Question 2

symptomatic multiple out-pouching of the intestinal mucosa WITH INFLAMMATION;

causes retention of hardened stool;

20% of patients with diverticulosis results to diverticulitis.

Answer 2

Diverticulitis

Question 3

Predisposing factors

Answer 3

Diet low in fiber
Diet high in refined carbohydrates

Question 4

Complications

Answer 4

Bowel perforation and peritonitis
Bowel obstruction
Hemorrhage
Shock

Question 5

Assessment

Acute onset of crampy abdominal pain in the left lower quadrant
Abdominal distention
Low-grade fever
Chronic constipation with intervals of diarrhea
Occult bleeding
Nausea and vomiting
Leukocytosis

Answer 5

Diverticulosis and Diverticulitis

Question 5

Diagnostic Tests

Contraindicated if there is diverticulitis due to the danger of perforation

Answer 5

Barium enema and Colonoscopy

Question 6

Diagnostic Tests

Answer 6

Barium enema and Colonoscopy
Complete Blood Count
Urinalysis
CT Scan

Question 7

Diagnostic Tests

Increase ESR and WBC

Answer 7

Complete Blood Count

Question 8

Diagnostic Tests

Procedure of choice and can reveal abscess

Answer 8

CT Scan

Question 9

Preferred diet

Answer 9

Eat high fiber foods

Question 10

True or False: Encourage to increase OFI

Answer 10

True

Question 11

Surgical Management

Answer 11

Colon resection with temporary colostomy