Diverticula

Question 1

What type of laxatives should be avoided in diverticulitis?

Answer 1

Stimulant laxatives like Senna

Question 2

What is the typical presentation of diverticulitis? (Any 3)

Answer 2

Pain in LIF
Fever
Diarrhoea
Nausea and vomiting
Rectal bleeding
Palpable abdominal mass (if there is an abscess)
Raised inflammatory markers like CRP and WBC

Question 3

What is the primary care management of diverticulitis? (4)

Answer 3

Oral co-amoxiclav
Analgesia (not NSAIDS and opiates if possible)
Only taking clear liquids
Follow up in 2 days

Question 4

Complications of diverticulitis (any 3)

Answer 4

Perforation 
Peritonitis 
Haemorrhage 
Fistula
Ileus
Obstruction 
Peridiverticular abscess