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Terms in this set (12)
Where are 95% of Diverticuli located?
What is the Pathophysiology of Diverticulitis?
Fecalith obstruction leads to localized infection and inflammation with microperforations
What are the Symptoms of Diverticulitis?
Alternating Constipation and Diarrhea
Bloody Stools are rare and more characteristic of DiverticulOSIS
What is the Work Up in Diverticulitis?
AXR, CT with IV/Oral Contrast
What procedures are contraindicated in Diverticulitis?
Barium Enema and Colonscopy due to risk of perforation
However, all patients must undergo Colonoscopy 4-6 weeks later
How is Diverticulitis treated?
IVF, TPN, IV non-opiod Analgesics, IV Abx with Aminoglycoside to cover B. fragilis for 5-7 days
What are the indications for surgical treatment of Diverticulitis?
Perforation, Recurrence, Bleeding, Fistula, Obstruction
What is the surgical treatment for Diverticulits?
Sigmoidectomy with temporary Colostomy
What are the complications of Diverticulitis?
Fistulization with bladder (watch for pneumaturia), vagina (watch for farting out your vagina, which is different than a queef) or skin
What are the symptoms of Diverticulosis?
LLQ discomfort, Bloating, Constipation/Diarrhea
How is Diverticulosis diagnosed?
incidentially on barium enema or colonoscopy; not usually visible on x-rays
How is diverticulosis treated?
just eat some fiber
psyllium if they can't tolerate fiber