Term
| What is the most common cause of lower GI bleeding in the elderly? |
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Definition
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Term
| The development of sac-like outpouching of the mucosal lining of the colon. |
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Definition
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Term
| Where are the most common locations of diverticula? |
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Definition
| Sigmoid and descending colon |
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Term
| Acute inflammation and infection of diverticula? |
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Definition
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Term
| Incidence of diverticular disease increases with __________. |
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Definition
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Term
| Why do diverticula develop? |
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Definition
| Weak spots from inc. intraluminal pressure from low fiber diet |
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Term
| What are the typical sx of diverticulosis? |
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Definition
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Term
| What are the s/sx of acute diverticulitis? (5) |
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Definition
| 1)LLQ tenderness 2)Low grade fever 3)N/V 4)Abd distension 5)Occult bleeding |
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Term
| What diagnostic test is typ. performed firat for suspected diverticulitis and what would it show? |
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Definition
| Abd x-ray - thumprints, free air if perf. |
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Term
| What test is diagnostic for diverticulitis? |
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Definition
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Term
| What tests should not be performed during an acute attack of diverticulitis? |
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Definition
| Barium enema and flex sig/colonoscopy |
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Term
| What meds can be used to tx mild abd pain d/t muscular spasm? |
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Definition
| Anti-spasmiodic (Librax, Bentyl, Donnatal, Levsin) |
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Term
| What oral abx are used to tx mild diverticulitis? |
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Definition
| Amoxicillin-clavulanate (Augmentin), Flagyl plus Cipro, or Bactrim |
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Term
| When would you want to hospitalize a pt w/ diverticulitis? (7) |
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Definition
| High fever, leukocytosis, not tol. p.o., inc. pain, elderly, immunosuppressed, serious comorbidities |
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Term
| When would a surgical consult be warranted for acute diverticulitis? |
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Definition
| Severe disease, no improvement in 72hrs |
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Term
| What tx is indicated after a second serious bout of diverticulitis requiring hospitalization? |
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Definition
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Term
| What are the rec. for continued management of diverticular dz? (4) |
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Definition
| 1)High fiber diet 2)Fluid 2.5-3L/d 3)Bulk-forming laxatives 4)Wt loss to dec. intrabdominal pressure |
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