Term
| What is herniations of colonic mucosa/submucosa through the muscularis propria and occurs at perforating arteries transverse the circular muscle layer |
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Definition
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Term
| Where predominatly does diverticulosis occur in the bowel? |
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Definition
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Term
| 95% of the cases of diverticulosis the ___colon and ____segments are involved |
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Definition
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Term
| What percentage of people with diverticulosis will develop diverticulitis? |
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Definition
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Term
| What sex is more likely and what race to get diverticulosis/itis? |
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Definition
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Term
| What kind of diet is diverticulosis common in |
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Definition
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Term
| What percent of diverticulitis patients are asymptomatic? |
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Definition
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Term
| How do we diagnose diverticulitis? |
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Definition
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Term
| What is the differential for Diverticulitis? |
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Definition
| IBS, IBD (i.e. Crohns is R sided UC is Left sided) Ischemic colitis, Colorectal cancer |
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Term
| Acute diverticulitis: when mild, there is limited inflammation and pain in ___ ____abdomen, localized tnderness, fever, anorexia and Nasea ____vomiting |
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Definition
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Term
| When diverticulits is more sever, we see _____or abscess within pericolic fat, mesentery or pelvis |
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Definition
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Term
| In severe diverticulitis there are these openings that can form between structres? What are they and where do they occur? |
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Definition
| Fistulas between bowel/bladder |
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Term
| The differential Diagnosis for diverticulitis is broad name some of the other diseases it can be |
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Definition
| appendicitis, mesenteric adenitis, Crohns disease, Meckels diverticulitis, omental torsion, pepetic ulcer, etc. |
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Term
| Women of childbearing age with suspected diverticulitis should be screened for what things? |
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Definition
| PID, rupture of ovarian follicle,ectopic prgnancy |
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Term
| When evaluating the diverticuitis patient what will be elevated in CBC? What test is CONTRAINDICATED IN THESE PATIENTS? What test should be ordered instead? |
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Definition
| increased WBC, Barium enema is a no no, use CT scan or Ultrasound |
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Term
| What diet do we put the mild diverticulitis patient on? |
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Definition
| Liquid, when symptoms quit, then advance to high fiber slowly |
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Term
| What antibiotics should be given to our mild diverticulitis patient? |
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Definition
| Augmentin, Double strength trimethoprimsulfamethaxazole, sipro, Flagyl |
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Term
| What antibiotics should be given to our more severe diverticulitis patient? |
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Definition
| gram negative aerobic/gram negative anaerobic: Ampicillin-sulbctam (Unasyn) and piperacillintazobactam (Zosyn) |
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Term
| According to Dr. Leondhart, when do we get a surgury consult on these patients w/ diverticulitis? |
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Definition
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Term
| What are the complications of diverticular disease? There are three! |
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Definition
| fistulas solonic stricture, diverticular bleeding |
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Term
| What percent of diverticular patients will get a fistula? |
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Definition
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Term
| What fistula accounts for 50-65% of diverticular fistulas? |
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Definition
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Term
| What percent of diverticular patients will have diverticular bleeding? |
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Definition
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Term
| What is the prophylaxis and treatment of Diverticulitis/osis? |
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Definition
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Term
| What has an incidence of 1/1000 per year in the USA? |
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Definition
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Term
| What is the lifetime risk of appy for men and women? |
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Definition
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Term
| What is the pathogenesis of appy's? What gets obstructed? |
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Definition
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Term
| What percent of appy pateints complain of pain intially referred to epigastium and periumbilical and then moves to RLQ |
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Definition
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Term
| When you suspect a patient has an appy, what percent will have anorexia? and if they are vomiting what should you think that is suggestive of? |
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Definition
| 80-90% and another diagnosis |
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Term
| There will be tenderness in RLQ in what percent of patients? |
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Definition
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Term
| What are the 2 atypical presentations of appys? (i.e. what position is appy in?) |
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Definition
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Term
| In pregnancy how many will have an appy? |
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Definition
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Term
| In appys, what percent of patients will have an increased WBC count? |
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Definition
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Term
| What test should be given to women of child bearing age when present w/ s/s of appy? |
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Definition
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Term
| Treatment of appy's: what needs to be done as soon as you suspect and confirm appendicitis? |
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Definition
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Term
| When pre-op'ing the patient what medication is given and for how long post op? |
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Definition
| ampicillin sulbactam or cephalosporin, 7-14 days post op |
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Term
| What percent of patients w/ simple appys will have complications? What percent with perforation will have complications? |
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Definition
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Term
| What are the most common complications of appys? |
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Definition
| wound infections and intra abdominal abscess, intestinal obstruction and prolonged ileus |
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Term
| What is the most common gastrointestinal motility disorders? There are 4 |
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Definition
| Nonulcer dyspepsia, IBS, functional constipation and outlet obstruction to defecation |
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Term
| Liquids empty from stomach w/ a half-emptying time of how many minutes or less? |
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Definition
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Term
| What size are particles are let into the duodenum? |
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Definition
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Term
| What is the name of the syndrome where a too tight of repair of hiatal hernias results in dysphagia, abdominal pain, gas bloating, dyspeptic condition? |
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Definition
| postfundoplication syndrome |
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Term
| What is this motility disorder being described? upper abdominal postprandial symptoms, w/ nausea, vomiting, pain, bloating anorexia, early satiety |
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Definition
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Term
| What percent of population has nonulcer dyspepsia? |
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Definition
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Term
| If dysphagia, bleeding, and weight loss are present, we must rule out what? |
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Definition
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Term
| How do we treat nonulcer dysphagia? |
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Definition
| PPI/H2 blockers and treat H. pylori if present |
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Term
| What is THE MOST COMMONLY DIAGNOSED FUNCTIONAL DISORDER OF GI TRACT? |
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Definition
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Term
| What is the syndrome being described here? abdominal pain and altered bowel movements, pain often worse after eating, in lower quadrants or hypogastium and is aggravated before and relieved by BM |
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Definition
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Term
| What tests do we order to exclude organic disease in IBS? |
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Definition
| Stool exam and occult blood, blood tests, serologic tests for celiac, sigmoidoscopy and if older than 45 do barium enema/solonoscopy |
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Term
| What is the treatment for IBS? |
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Definition
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