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Definition
what geographical area has more right sided (ascending colon) problems. This is different than Left in western civilizations. |
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low fiber diet and pushing too hard on the toilet |
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Definition
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Definition
tx and prevention of diverticulitis |
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Old age high meat intake western civilization CT diseases IBS also a major cause |
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Definition
Risk factors for diverticulitis (4) |
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gender, alcohol, smoking, colorectal cancer, polycystic kidney disease |
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Definition
What factors have no effect on diverticulitis |
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Definition
gross blood through rectum |
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Definition
when pouches of diverticulosis become inflammed, symptomatic |
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tenderness in LLQ *MOST COMMON can be asymptomatic tender mass in 20 percent distention is common Low grade fever and mild leukocytosis |
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Definition
symptoms of diverticulosis |
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painless self limited hematochezia |
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Definition
hallmark of diverticular bleeding |
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Definition
Epidemiology of diverticulosis |
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Definition
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Definition
pockets of bacteria growing in out pouching |
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Definition
inflammation, when attached to bladder may see "brown urine" |
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Definition
Severe perforations lead to _______, air on sides of diaphragm |
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1. blood test with liver fxn 2. CBC 3. Amylase (elevated in pancreatitis) 4. Urinalysis (sterile pyuria, can show WBC and pus) Chronic flora suggests fistula |
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Definition
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Definition
Don't use this test due to risk of ripping pouches |
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Definition
Never use this contrast due to leaking...use this instead |
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X-ray, Ultrasound, contrast enema, CT scan (TEST OF CHOICE W/ ORAL AND IV CONTRAST) |
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Definition
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1. NPO 2. 1st episode with antibiotics: metrondiazole/CIPRo 3. Alternative: Amoxicillin/Clauvulanic acid - 2 wks |
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Definition
Treatment of Diverticulitis |
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Term
obstruction or fistula requiring surgery |
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Definition
Complicated diverticulitis |
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Laproscopic: longer but better outcome |
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Definition
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Definition
Requirement for surgery of diverticulitis after how many flare ups |
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Look for pneumoperitoneum diaphragm sings |
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Definition
Reasons for doing acute abdominal series of X-ray? |
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over 37 C or 101 F (100.4 for more than one hour) |
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Definition
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Definition
another word for relative bradycardia, classically associated w/ yellow fevor and legionaries disease |
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stick finger up rectum and push down if patient jumps off table in pain diagnosis is made |
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Definition
What rash is preceded by abdominal pain |
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Definition
Most common cause of constipation in office |
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Definition
What is the surgical classification for Diverticulitis |
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