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Acute Diverticulitis, Garden,J, Parks, R. 2018. Principles and practice of…
Acute Diverticulitis
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Pathophysiology
Diverticula usually develop in the left colon although can be found in the small intestine although rare
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muscular lining of the digestive system, particularly in the colon, herniations can develop. These small pouches of mucosa are called diverticula
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Common pitfalls
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A third of patients require further invention, eg. Surgery
Perforation - septic shock, dehydration, marked abdominal pain and distention
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Initial management
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Antibiotics if found to be showing signs of Sepsis, broad spectrum such as cephalosporins or gentamicin including metronidazole should be considered
Investigations
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CT vs CT contrast preferably with renal contrast - in the first instance also shows if any suggestion of malignancy, abscess or fistula
Colonoscopy / Flexible Sigmoidoscopy performed although if findings suggest inflammation this would be done at a later date to prevent the risk of perforation
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