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Diverticulosis (Diverticulitis (Other Complications (Perforation, Abscess,…
Diverticulosis
Diverticulitis
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Ix
CT has very high sensitivity and specificity
Water soluble contrast studies may occasionally be
helpful
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Mx
Resus: admit, NBM, fluids, Abx
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Pathophysiology
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High intraluminal pressures → herniation of mucosa through muscularis propria @ points of weakness where perforating arteries enter.
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Diverticular Disease
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Rx
High-fibre diet, mebeverine may help
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Colorectal Cancer
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Presentation (left-sided)
- Change in bowel habit
- PR mass: 60%
- Obstruction: 25%
- Tenesmus
- PR bleed
- Systemic: wt. loss, malaise