GI: Diverticulosis, Diverticulitis, Diverticular Bleed

Question 1

The presence of diverticula in the GI tract is called…

Answer 1

diverticulosis

Question 2

prevalence of diverticulosis increases with…

Answer 2

age

Question 3

Dx of diverticulosis, where MC?

Answer 3

incidental finding in sigmoid colon

Question 4

Tx of diverticulosis?

Answer 4

high fiber, high fluid diet

Question 5

LLQ tenderness, Leukocytosis, Low-grade Fever

Answer 5

Diverticulitis

Question 6

Diagnostic image of choice for diverticulitis?

Answer 6

Contrast CT/AP

Question 7

4 complications of acute diverticulits?

Answer 7

abscess
fistula
obstruction
perf

Question 8

Colonoscopy should be performed ______ following diverticulitis resolution to exclude colon CA or IBD

Answer 8

6-8 weeks

Question 9

f/u for outpatient diverticulitis should occurr..

Answer 9

48 hours

Question 10

outpatient management of uncomplicated acute diverticulitis…

Answer 10

clear liquid, low residue diet

G-/Aerobic PO Abx x 7-10 days
metronidazole + cipro, Metro + bactrim, or augmentin

Question 11

long term diet for acute diverticulitis pts?

Answer 11

high fiber

Question 12

MC cause of overt lower GI bleed…

Answer 12

diverticular bleed

Question 13

diverticular bleed is MC in what site?

Answer 13

right colon

Question 14

Pt. presents w/ painless hematochezia, blood on rectal exam

Answer 14

diverticular bleed

Question 15

How is diverticular bleed usually discovered?

Answer 15

flex sig, colonoscopy or tagged RBC scan, angiography

Question 16

is BUN/Cr elevated in diverticular bleed?

Answer 16

No

Question 17

What lab should be trended with a diverticular bleed?

Answer 17

CBC H/H

Question 18

What two procedures help r/o UGI source of bleed?

Answer 18

EGD, NG lavage

Question 19

Tx for diverticular bleed:

Answer 19

hospitalization, transfusion PRN, endoscopy/angiography/surg to stop bleed