Large Group 3 - Lower GI Flashcards
Diverticulosis is found on which side of colon?
Antimesenteric
Most diverticula are localized where?
Distal colon
*but can occur anywhere in colon, just not the rectum
How are uncomplicated diverticulosis usually found?
Incidental findings
Diverticulosis can present as what other bowel syndrome?
Irritable bowel syndrome
2 common complications of Diverticular Disease
Diverticulitis and Bleeding
What is complicated diverticulitis?
Presence of an abscess, fistula, obstruction, or perforation
What is simple or uncomplicated diverticulitis?
Inflammation in the absence of complications
Most common complaint of diverticulitis?
LLQ pain
Right sided- diverticulitis is common in which ethnic region?
Asia
Name the syndrome: LLQ pain, low grade fever, mild leukocytosis, urinary sx
Diverticulitis
*Urinary sx due to bladder irritation from the inflamed sigmoid
Tx for uncomplicated diverticulitis
ciprofloxacin with metronidazole
Tx for uncomplicated diverticulitis
amoxicillin-clavulanate
Tx for uncomplicated diverticulitis
SMX-TMP and metronidazole
Tx for complicated diverticulitis
ampicillin, gentamicin, metronidazole
Tx for complicated diverticulitis
pipercillin-tazobactam
When is surgery implicated for diverticular Dz?
after first attack of complicated diverticulitis or after two or more episodes of UNcomplicated within 12 mos
Most common intestinal ischemia?
Colonic - 70%
What is Griffith’s point also known as?
Splenic flexure
Sudek’s point is also known as?
Rectosigmoid junction
Why is right colon a watershed area?
Sometimes Marginal a. of Drummond is poorly developed in that area, causing low perfusion states