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Diverticulitis-1

Diverticulitis-1 - Diverticular Disease Maggie Gordon R1...

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Diverticular Disease Maggie Gordon, R1 September 5, 2006
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Outline The disease Treatment guidelines
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The Disease
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Definitions Colonic diverticulum: herniation of mucosa and muscularis mucosa through colonic wall (technically, a false diverticulum) Diverticulosis: presence of diverticula without inflammation Diverticular disease: presence of symptomatic diverticula Diverticulitis: inflammation and infection associated with diverticula Schwartz's Principles of Surgery - 8th Ed. (2005)
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Uncomplicated Diverticulitis Infection, inflammation of diverticulum Presentation: LLQ pain, tenderness CT: pericolic soft-tissue stranding colonic wall thickening phlegmon Schwartz's Principles of Surgery - 8th Ed. (2005)
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Complicated Diverticulitis Abscess Obstruction Diffuse peritonitis (free perforation) Fistulas, e.g., colovesical, colovaginal, coloenteric, colocutaneous Haemorrhage Schwartz's Principles of Surgery - 8th Ed. (2005)
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Diverticulitis-1 - Diverticular Disease Maggie Gordon R1...

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