Large bowel Flashcards
Diverticular disease
Muscosal herniation through muscle coat
Sigmoid colon
Low fibre intake
Incidental finding
2 types of diverticular disease
Diverticulosis
Diverticulitis
Complications of diverticular disease
Pericoloic abscess Perforation Haemorrhafe Fistulae Stricture
Scale used to classify diverticulitis
Hinchey
Diverticulitis treatment
Uncomplicated = Oral Antibiotics Complicated = Percutaneous drainage, Hartmann's procedure, laprascopic lavage and drainage, primary resection
Causes of acute and chronic colitis
Infective colitis
Ulcerative colitis
Crohn’s colitis
Ischaemic colitis
Acute and chronic colitis symptoms
Diarrhoea + blood
Abdominal cramps
Dehydration
Sepsis
Ix for colitis
X ray
Sigmoidoscopy + biopsy
Stool cultures
Barium enema
Ischaemic coliti
Eldery
Arteriopaths
Acute or chronic occlusion of IMA
Colonic angiodysplasia
Submucosal lakes of blood
Obscure cause of rectal bleeding
Usually right side of colon
Colonic angiodysplasia treatment
Embolisation
Endoscopic ablation
Surgical resection
Causes of large bowel obstruction
Colorectal cancer
Benign stricture
Volvolus
Treat large bowel obstruction
Resuscitate
Operate
Stenting
Sigmoid volvolus treatment
Flatus tube
Surgical resection
Pseudo-obstruction
No real mechanical obstruction
Elderly/debilitated
Hpoxia/biochemistry
