18 Questions
What is the main difference between true diverticula and pseudo diverticula?
True diverticula involve herniations of all layers of the G.I. wall, while pseudo diverticula involve herniations only in the mucosa and submucosal layer.
Which of the following is NOT a risk factor for diverticular disease?
Rapid colonic transit time
What is one of the complications associated with diverticular disease?
Peritonitis
How might diverticular disease patients typically present with pain?
In the left lower quadrant
Which diagnostic procedure allows visualization of the diverticular disease?
Colonoscopy
What type of fistula can occur in diverticular disease between the colon and urinary bladder?
Colovesicular
What diagnostic procedure is contraindicated in patients with diverticular disease due to the risk of perforation?
Barium enema
Which laboratory test is typically performed if a patient with diverticular disease presents with frank blood in the stool?
HgB
What is the main purpose of administering opioids to patients with diverticular disease?
To relieve pain
Which surgical procedure involves resecting the affected area and joining the remaining bowel end to end in patients with diverticular disease?
One-stage resection
Which classification system can guide healthcare providers in determining treatment for diverticular disease?
IRIS Modified Hinchey Classification System
What is the purpose of NG suctioning in hospitalized patients with significant symptoms of diverticular disease?
To rest the bowel
What is the main reason for avoiding blind insertion of a nasogastric tube postoperatively?
To prevent perforation
Which clinical manifestation is specifically related to irritation of the trachea and aspiration in diverticular disease?
Coughing
Why is esophagoscopy contraindicated in diverticular disease diagnosis?
To avoid perforation of the diverticulum
Which procedure involves dissecting only the cricopharyngeal muscle without changing the pouch sac in diverticular disease management?
Peroral Endoscopic Myotomy (POEM)
What is the primary reason for avoiding trauma to the carotid artery and internal jugular veins during endoscopic septostomy?
Because the surgical site is adjacent to major arteries
What manifestation might a patient experience due to food pouch becoming full with food or liquid in diverticular disease?
Fullness in the neck
Learn about diverticulum as the outpouching of the mucosal lining of the colon, the two types of diverticulitis, and the difference between true and pseudo diverticula. Understand that diverticula can occur anywhere in the G.I. tract but are more common in the colon. Explore the concept of diverticulosis involving multiple outpouchings without inflammation.
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