who is at high risk ? obesity
what are the symptoms if diverticula become inflamed? symptoms of infection-fever, chills, and tachycardia
diverticulitis-typically present with? localized pain and tenderness in the LLQ of the abdomen with associated anorexia,
nausea and vomiting
diverticulitis-best management? High-fiber diet
diagnostic tests for diverticulitis? •CT scan with contrast may sometimes be done to r/o if the gynecologic etiology
(such as ovarian cyst or tumor) as well as bowel pathology such as abdominal
abscess
C. Diff -infection of lg intestine
-exists in air, water, soil, processed food and human feces
-cause profuse watery mucoid diarrhea
-certain types can be dangerous or life-threatening if not treated
C. Diff risk factors -Working in healthcare facility
-Long duration hospitalization
-Long-term use of antibiotics that affects normal GI flora
-Long-term use of medications that reduce GI acidity
-Consumption of contaminated food or water
-Touching infected soil, objects and surfaces
C. diff mild-moderate infection -Watery diarrhea three or more times/day for two or more days
-Mild abdominal cramping and tenderness
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C. Diff severe infection -Watery diarrhea (10-15 stools/day)
-Strong foul odor
-Acute abdomen secondary to toxic megacolon with perforation
-Abdominal distention
-Fever
-Nausea/vomiting/dehydration requiring hospitalization
-Blood or pus in the stools (severe cases)
C. Diff Dx •Complete blood count (CBC): elevated WBC count
•Enzyme-linked immunodeficiency assay (ELISA): identifies toxins that produce C. diff
bacteria
•Cell cytotoxicity assay: identifies the effects of bacterial toxins on human cells
•Polymerase chain reaction (PCR): detects bacterial genes
•Endoscopy: if the patient is unresponsive to treatment; will show pseudomembranes
that suggest c-diff infection
C. Diff Tx •Metronidazole
•Probiotics- to restore the healthy growth of normal GI bacteria
•Colectomy in severe cases
•Maintain fluids
•Clear liquid diet
•Eat starchy foods to prevent diarrhea
•Avoid caffeine, spicy foods, milk and greasy foods
•May require a GI consult
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