Diverticulum and Diverticulitis Overview

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Questions and Answers

What is the main difference between true diverticula and pseudo diverticula?

  • True diverticula cause constipation, while pseudo diverticula cause diarrhea.
  • True diverticula involve herniations of all layers of the G.I. wall, while pseudo diverticula involve herniations only in the mucosa and submucosal layer. (correct)
  • True diverticula are symptomatic, while pseudo diverticula are asymptomatic.
  • True diverticula are more common in the colon, while pseudo diverticula are more common in the small intestine.

Which of the following is NOT a risk factor for diverticular disease?

  • Rapid colonic transit time (correct)
  • Low-fiber diet
  • Family history
  • High intake of red meat

What is one of the complications associated with diverticular disease?

  • Brain hemorrhage
  • Skin rash
  • Lung infection
  • Peritonitis (correct)

How might diverticular disease patients typically present with pain?

<p>In the left lower quadrant (C)</p> Signup and view all the answers

Which diagnostic procedure allows visualization of the diverticular disease?

<p>Colonoscopy (C)</p> Signup and view all the answers

What type of fistula can occur in diverticular disease between the colon and urinary bladder?

<p>Colovesicular (A)</p> Signup and view all the answers

What diagnostic procedure is contraindicated in patients with diverticular disease due to the risk of perforation?

<p>Barium enema (A)</p> Signup and view all the answers

Which laboratory test is typically performed if a patient with diverticular disease presents with frank blood in the stool?

<p>HgB (A)</p> Signup and view all the answers

What is the main purpose of administering opioids to patients with diverticular disease?

<p>To relieve pain (A)</p> Signup and view all the answers

Which surgical procedure involves resecting the affected area and joining the remaining bowel end to end in patients with diverticular disease?

<p>One-stage resection (B)</p> Signup and view all the answers

Which classification system can guide healthcare providers in determining treatment for diverticular disease?

<p>IRIS Modified Hinchey Classification System (C)</p> Signup and view all the answers

What is the purpose of NG suctioning in hospitalized patients with significant symptoms of diverticular disease?

<p>To rest the bowel (B)</p> Signup and view all the answers

What is the main reason for avoiding blind insertion of a nasogastric tube postoperatively?

<p>To prevent perforation (C)</p> Signup and view all the answers

Which clinical manifestation is specifically related to irritation of the trachea and aspiration in diverticular disease?

<p>Coughing (C)</p> Signup and view all the answers

Why is esophagoscopy contraindicated in diverticular disease diagnosis?

<p>To avoid perforation of the diverticulum (D)</p> Signup and view all the answers

Which procedure involves dissecting only the cricopharyngeal muscle without changing the pouch sac in diverticular disease management?

<p>Peroral Endoscopic Myotomy (POEM) (D)</p> Signup and view all the answers

What is the primary reason for avoiding trauma to the carotid artery and internal jugular veins during endoscopic septostomy?

<p>Because the surgical site is adjacent to major arteries (D)</p> Signup and view all the answers

What manifestation might a patient experience due to food pouch becoming full with food or liquid in diverticular disease?

<p>Fullness in the neck (C)</p> Signup and view all the answers

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