Diverticulitis

Question 1

Most common location of diverticulosis

Answer 1

Left Colon

Question 2

Diverticulitis Risk factors

Answer 2

• Sigmoid colon
• Diet
• Obesity/inactivity
• smoking
• Drugs: NSAIDS, Steroids, Opiates

Question 3

Diverticulitis Exam findings

Answer 3

• Localized tenderness
• Distention
• Tympanic to percusion
• Mass + Abcess formation
• Absent bowel sounds (Perf)
• Rebound + Guarding (Perf)

Question 4

Treatment of Diverticulitis

Answer 4

1. Uncomplicated: Outpatient -> Clear liquids 2-3 Days; 7-10 days oral BS Abx; Pain medication
2. Complcated/Severe: Admit to hospital; NPO w/ IV Abx; Tx complications such as perotinitis/retroperitonitis; Pai management w/ morphine

Question 5

Mortality + Recurrence of Diverticulitis

Answer 5

20% within 5 years after first acute occurrence

1% mortality