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</p> Signup and view all the answers

    Which diagnostic procedure allows visualization of the diverticular disease?

    <p>Colonoscopy</p> Signup and view all the answers

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

    <p>Colovesicular</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</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</p> Signup and view all the answers

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

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

    Why is esophagoscopy contraindicated in diverticular disease diagnosis?

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

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