Mix

Question 1

What are the causes for lower abdominal pain?

Answer 1

IBD ( UC, chrohn) 
IBD 
large bowel obstruction 
Colon cancer
Ischemic colitis 
Nephrolithiasis
Appendicitis’s 
Mesenteric ischemia
Colon spasm
Hernia 
UTI
Ovarian pb, ectopic pregnancy,endometriosis

Question 2

How to approach ptn with Diverticulitis?

Answer 2

Give antibiotics as cipro or levofloxacin + metronidazole
Set him up for future follow up
If hypotensive or tachycardic I should give IV bolus
Afterwards basic labs should be done as:
CBC, Chem 7, urinalysis & lactate to exclude kidney stones
Give tylenol or ibuprofen for pain
Do Abd. CT scan

Question 3

What is the most common site for Diverticulum?

Answer 3

Sigmoid colon because the lumen size is smaller and the pressure is higher

Question 4

What is the most common site for diverticulum bleeding?

Answer 4

Is the Right side because of thinner mucosa

Question 5

What is the most common cause of ACUTE lower GI bleeding in ptn > 40 years old?

Answer 5

Diverticular disease

Question 6

What are the risk factors for diverticular disease?

Answer 6

Low fiber diet
Old age ( 50% in ppl > 50 years & 70% in ppl 70 years )
Connective tissue disorders

Question 7

Waht are the risk factors for diverticulitis?

Answer 7

Old age 
Low fiber diet 
History of diverticulitis 
Constipation 
Hereditary diseases as : 
Poly-cystic kidney,  marfan syndrome,  Ehles-danlos syndrome 
Large no. Of diverticuli

Question 8

What are the complications of diverticular disease?

Answer 8

Diverticulitis
Perforation
Obstruction
Bleeding ( painless)