Diverticulum Disease/Anatomy Physiology Flashcards
What are the complications of diverticulum disease
[Diverticulitis bleed abscess from the narrowed colon fistula]
Diverticulitis
Bleeding
Abscess
Fistulas
Narrowed colon(—>obstruction)
Diverticular disease
Symptoms
{FACN vomiting}
Abdominal pain
Cramping
Nausea / vomiting
Fever
What is the Hinchey classification for diverticulum disease?
Hinchey classification; [the pericolic mesenteric abscess turned into pelvic abscess as stage 2 then in stage 3 generalization of the purulent peritonitis then as stage 4 the perforation causes fecal peritonitis.]
Stage1: pericolic and mesenteric abscess
Stage2: pelvic abscess
Stage3: generalized purulent peritonitis
Stage: fecal peritonitis
What are the 4 stages of Hinchey classification while ckaddifying diverticular disease?
PM.P.G.F
Stage 1: Pericolic and mesenteric abscess
Stage 2: Pelvic abscess
Stage 3: Generalized purulent peritonitis
Stage 4: Fecal peritonitis
What are the lab tests for colon volvulus?
Abd x-ray(COFFEE BEAN sign)
CT
&Barium enema(not used)
How long is the large colon
1.5meters
How to confirm cases of Diverticulitis?
CT scan and x-ray
(Barium enema and colonoscopy shouldn’t be performed in acute settings because colon rupture may occur;however they must be done after tx in every patient to exclude colon CARCINOMA)
Which artery supplies the small intestine and ascending colon?
Superior mesenteric a.
What are the branches of superior mesenteric a.?
1-inferior pancreaticoduodenal a.
2-Right colic a.
3-middle colic a.
4-ileocolic a.
What are the functions of the colon?
1-propulsion of feces
2-absorption of water and electrolyte
3-secretion of electrolytes
4-further breakdown of digested material by microbial flora
Which symptom is found in diverticulitis but not in diverticulum>
Pain is found in diverticulitis bcz it is an infection
What are the layers of the colon?
Inner to outer
1-mucosa
2-submucosa
3-muscularis propria (circular then longitudinal)
4-serosa
What is the definition of diverticulum disease?
Diverticulum is an abnormal sac or pouch protruding from the wall of a hollow organ due to Weakness in the intestinal wall
and is not hereditary
What is the differential diagnosis of diverticulum disease?
Tumor
The condition in which the bowel becomes twisted on its mesenteric axis that results in partial or complete obstruction of the bowel; is called?
Colon volvulus
