diveticular disease

Question 1

most common location

Answer 1

left side
sigmoid

Question 2

symptoms of diverticulitis

Answer 2

abdo pain
vomiting
nausea (guy sat on the floor in ed)
fever
rectal bleeding !!1
constipation

Question 4

investigations

Answer 4

bloods-inflammatory markers
ct abdo

Question 6

why do you someitmes not treat diverticuitis with ab

Answer 6

because the outpouchings can be infected or just inflammed

Question 7

DX of rectal bleeding

Answer 7

diverticulitis
hemorrhoids
IBD
colon cancer

Question 8

what’s the important thing to remember about divirticulitis

Answer 8

can be RHS in asians

Question 9

complications of diverticulitis

Answer 9

strictures due to chronicity
abscess
perforation +peritonitis
fistulas - colovesiscal, pneumaturia , fecaluria, UTI

Question 10

if you suspect a pt with a bowel obsturction what should you ask

Answer 10

1. have you been passing wind !

Question 11

what could cause bowel obstruction whast the most common?

Answer 11

hernia
adhesions
tumor - most common
lack of peristalsis
structure
fecaloma

Question 12

signs of bowel obstruction

Answer 12

1. abdo pain -crampy
2. N+V
   3.obstipation (gas and poo)
3. vomitiitng (feculant or bilious)

Question 13

differnece between small bowel and large bowel obstruction

Answer 13

1. small is more likely to have vomiting whereas in large its usually a late sign

small bowel not necessarily constipated

Question 14

investigations for bowel obstruction

Answer 14

abd xray - dilated bowel loops
ct

Question 15

marker for colon cancer

Answer 15

cea