Diverticulosis, Diverticular Disease, Diverticulitis Flashcards

1
Q

Diverticulitis, diverticular disease and diverticulosis is caused by _____

A

Lack of fibre

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2
Q

How does lack of fibre cause a diverticular

A

Lack of fibre Causes stool to move slowly through the colon/ large intestine which irritates colon causing diverticular

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3
Q

Whats a diverticular

A

Pouches on colon wall

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4
Q

Whats the difference between diverticular and diverticulosis

A

DiverticulOsis is diverticular but with NO symptoms

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5
Q

Diverticulosis is usually age dependent- what age?

A

40+ usually

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6
Q

Diverticular disease is____

Whats the symptoms

A

Diverticular WITH symptoms
- abdominal tenderness
- constipation
- diarrhoea
- rectal bleeds
- lower abdominal pain without inflammation or infection

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7
Q

Whats the main symptom of diverticular disease

A

Lower abdominal pain with no inflammation or infection

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8
Q

Diverticular symptoms overlap with the conditions _____

A

IBS
Colitis

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9
Q

Does diverticular disease increase or decrease with age

A

Increases
Usually 40+

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10
Q

Whats diverticulitis

A

Diverticular with inflammation and infection

SEVERE symptoms - refer

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11
Q

Which would you refer:

Diverticular disease
Diverticulitis
Diverticulosis

A

Diverticulitis because its associated with inflammation and infection

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12
Q

There are 2 types of diverticulitis, describe them

A

Acute: when diverticular suddenly becomes inflamed and infected

Complicated diverticulitis: emergency, may require colonoscopy

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13
Q

What are the symptoms of acute diverticulitis

A

Constant lower abdominal pain
Significant rectal bleeding
Abdominal mass
Fever
Sudden changes in bowel habits

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14
Q

Symptoms of complicated diverticulitis

A

Abscess
Bowel perforation
Intestinal obstruction
Sepsis

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15
Q

Risk factors of diverticular disease, diverticulosis and diverticulitis

A

Age > 40 years
No fibre
Genes

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16
Q

Diverticulosis treatment

A

No treatment if no symptoms
If required bulk laxatives

17
Q

Acute diverticulitis treatment

A

Simple analgesia
Refer to GP!!

Only give antibiotics for treatment when certain of infection NOT prophylaxis

18
Q

When do you refer a patient with acute diverticulitis to hospital urgently

A

Significant rectal bleed

19
Q

Diverticular disease treatment

A

Antibacterial not recommended

BPA

Bulk laxatives
Paracetamol - abdo pain
Antispasmodics - cramps - buscopan

20
Q

Can you give opioids and nsaids for pain in diverticular disease

A

Not recommended As causes diverticular perforation (holes in large intestine)

21
Q

Non drug treatment for diverticular

A

Increase fibre in diet
Weight loss, smoking cessation
Exercise

22
Q

Can you use antibacterial prophylaxis and aminosalicylates in diverticular, diverticulitis or diverticulosis

A

NO