Condition Info - BotMed Application

ConditionName

Diverticulitis / Diverticulosis

ConditionDescription

Infection of diverticulum that can lead to necrosis or perforation

Symptoms

Diverticulosis:
Asymptomatic until bleeding or infection;
Cramping;
Bloating;
Flatulence;
Irregular defecation;
Painless rectal bleeding;

Diverticulitis:
LLQ; pain and tenderness; 
May cause severe pain; 
Fever; Nausea; Vomiting; 
Alternating diarrhea/constipation;

PhysicalFindings

Tenderness on palpation; Palpable mass

ClinicalTests

Diverticulosis:
Colonoscopy;
Barium enema;

Diverticulitis:
Best initial: CT scan with contract of the AB -98% accuracy; 
NO BARIUM STUDY;
Always R/O colon cancer: Colonoscope; 
↑ WBC;

RiskFactors

Aging;
Obesity; 
Smoking; 
Lack of exercise; 
Diet high in animal fat and low in fiber;
Certain medications;

IsRedFlag

IsNPLEX

Consequence

Peritonitis; 
Intestinal obstruction; 
Fistulization; 
Abscess formation; 
Sepsis;

ProgressionFromCondition

Diverticulosis:
Low fiber high fat diet (meat and potato diet);
Old age;
History of constipation;

Diverticulitis --> Diverticulosis;

TreatmentOptions

Add fibre in the diet;
Angiography helps with active bleeding;
Homodynamic instability – no colonoscopy;

PharmOptions

WebLink

https://www.merckmanuals.com/professional/gastrointestinal-disorders/diverticular-disease/colonic-diverticulitis | https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/diverticular-disease/colonic-diverticulosis