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2-Diverticulosis
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30
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Kindergarten
11/13/2012

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Cards

Term
Diverticulosis
Definition
Left lower quad pain =
Term
Asia
Definition
what geographical area has more right sided (ascending colon) problems. This is different than Left in western civilizations.
Term
low fiber diet and pushing too hard on the toilet
Definition
cause of diverticulitis
Term
High fiber diet
Definition
tx and prevention of diverticulitis
Term
Old age
high meat intake
western civilization
CT diseases
IBS also a major cause
Definition
Risk factors for diverticulitis (4)
Term
gender, alcohol, smoking, colorectal cancer, polycystic kidney disease
Definition
What factors have no effect on diverticulitis
Term
Hematochezia
Definition
gross blood through rectum
Term
Diverticulitis
Definition
when pouches of diverticulosis become inflammed, symptomatic
Term
tenderness in LLQ *MOST COMMON
can be asymptomatic
tender mass in 20 percent
distention is common
Low grade fever and mild leukocytosis
Definition
symptoms of diverticulosis
Term
painless self limited hematochezia
Definition
hallmark of diverticular bleeding
Term
50% over 65
10% over 40
Definition
Epidemiology of diverticulosis
Term
70%
Definition
Percent Asymptomatic
Term
abscesses
Definition
pockets of bacteria growing in out pouching
Term
Fistula
Definition
inflammation, when attached to bladder may see "brown urine"
Term
pneumoperitoneum
Definition
Severe perforations lead to _______, air on sides of diaphragm
Term
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
Definition
Top LAB tests (4)
Term
Endoscopy
Definition
Don't use this test due to risk of ripping pouches
Term
Barium..Gastrografin
Definition
Never use this contrast due to leaking...use this instead
Term
X-ray, Ultrasound, contrast enema, CT scan (TEST OF CHOICE W/ ORAL AND IV CONTRAST)
Definition
Diagnostic Tests (4)
Term
1. NPO
2. 1st episode with antibiotics: metrondiazole/CIPRo
3. Alternative: Amoxicillin/Clauvulanic acid - 2 wks
Definition
Treatment of Diverticulitis
Term
obstruction or fistula requiring surgery
Definition
Complicated diverticulitis
Term
Laproscopic: longer but better outcome
Definition
Laproscopic vs. open
Term
2
Definition
Requirement for surgery of diverticulitis after how many flare ups
Term
Look for pneumoperitoneum diaphragm sings
Definition
Reasons for doing acute abdominal series of X-ray?
Term
over 37 C or 101 F (100.4 for more than one hour)
Definition
Fever definition
Term
Fagets sign
Definition
another word for relative bradycardia, classically associated w/ yellow fevor and legionaries disease
Term
stick finger up rectum and push down if patient jumps off table in pain diagnosis is made
Definition
DX prostitis
Term
Zoster
Definition
What rash is preceded by abdominal pain
Term
IBS
Definition
Most common cause of constipation in office
Term
Hinchey Classification
Definition
What is the surgical classification for Diverticulitis
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