GI.txt

Card Set Information

Author:
Anonymous
ID:
27238
Filename:
GI.txt
Updated:
2010-07-18 17:06:57
Tags:
gastrointestinal
Folders:

Description:
diverticulitis
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  1. What is Diverticulitis? #1
    • Inflammation of an abnormal pouch (diverticulum) in the intestinal wall usually found
    • in the large intestine.
  2. What are the S/S of Diverticulitis?
    • Left lower quadrant pain (or RLQ or abdominal pain)
    • Fever/chills
    • Leukocytosis (increased WBC)

    N/V
  3. What is the cause of Diverticulitis? #3
    Lack of dietary fiber, particularly non-soluble fiber ("roughage").

    • Small, protruding sacs when they become inflamed are thought to develop as a
    • result of high pressure or abnormal pressure in the colon. High pressure
    • against the colon wall causes pouches of the intestinal lining to bulge
    • outward through small defects in the colon wall that surround blood
    • vessels.
  4. What is pathophysiology of diverticulitis?
    Small, protruding sacs when they become inflamed are thought to develop as a result of high pressure or abnormal pressure in the colon. High pressure against the colon wall causes pouches of the intestinal lining to bulge outward through small defects in the colon wall that surround blood vessels.
  5. Tests (3) to diagnose diverticulitis?
    • Abdominal palpation
    • CT scan with oral and IV contrast (98% accurate)
    • High white blood cell count
  6. How to prevent diverticulitis? #6
    A high-fiber diet may prevent development of diverticulosis.

    Some doctors tell patients with a history of diverticulitis to avoid nuts andseeds in the diet. However, there is no evidence that this is helpful to prevent the disease.
  7. What will MD likly order for pt? #7
    • NPO
    • IVF
    • Antibiotics

    Broad-spectrum antibiotics which cover anaerobic bacteria and gram-negative rods.
  8. What is broad-spectrum antibiotics?
    it acts against both Gram-positive and Gram-negative bacteria
  9. What is narrow-spectrum antibiotic?

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