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Modified Hinchey Classification: Diverticulitis

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Modified Hinchey Classification: Diverticulitis

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Questions and Answers

What is the stage of acute, complicated diverticulitis characterized by mild diverticulitis or diverticula with colonic thickening on CT?

Stage 1a

Stage 0 (correct)

Stage 1b

Stage 2

What is the definition of Stage 1a in the modified Hinchey classification?

Colonic reaction with inflammatory reaction in the pericolic fat

What characterizes Stage 1b in the modified Hinchey classification?

Localized pericolic or mesenteric abscess

What defines Stage 2 of acute, complicated diverticulitis?

Intra-abdominal, pelvic, or retroperitoneal abscess Signup and view all the answers

What is Stage 3 characterized by?

Perforated diverticulitis causing generalized purulent peritonitis Signup and view all the answers

What does Stage 4 entail in the modified Hinchey classification?

Rupture of diverticula into the peritoneal cavity with generalized fecal peritonitis Signup and view all the answers

Study Notes

Modified Hinchey Classification of Acute Diverticulitis

Stage 0: Characterized by mild diverticulitis or colonic thickening visible on CT scans; presents as uncomplicated.
Stage 1a: Involves a colonic reaction with an inflammatory response localized in the pericolic fat; also considered uncomplicated.
Stage 1b: Defined by the presence of a localized abscess either in the pericolic or mesenteric areas; categorized as complicated.
Stage 2: Involves the formation of intra-abdominal, pelvic, or retroperitoneal abscesses; classified under complicated diverticulitis.
Stage 3: Indicates perforated diverticulitis leading to generalized purulent peritonitis; recognized as a complicated stage.
Stage 4: Describes the rupture of diverticula into the peritoneal cavity, resulting in widespread fecal peritonitis.

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Description

This flashcard quiz focuses on the Modified Hinchey Classification for staging acute, complicated diverticulitis. You will learn about the definitions and distinguishing features of each stage, ranging from uncomplicated cases to complicated conditions. Perfect for medical students and healthcare professionals looking to reinforce their understanding of this important classification system.