Diverticulitis: Difference between revisions

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==Dispo==
==Dispo==
#Outpt
#Outpt
##Simple diverticulitis, tol po, social support, able to f/u in 48-72h
##Simple diverticulitis
##tol po
##social support
##able to f/u in 48-72h
#Admit
#Admit
##Comorbidities; complicated disease (assoc abscess, bowel wall >4mm, obstruction, ill appearance)
##Comorbidities
##complicated disease
###assoc abscess
###bowel wall >4mm
###obstruction
###ill appearance
#Surgery/IR
#Surgery/IR
##Abscesses >4cm; fistulas
##Abscesses >4cm
##fistulas


[[Category:GI]]
[[Category:GI]]

Revision as of 05:49, 14 March 2011

Epidemiology

1/3 affected by age 50

Occurs in 10-25% of those with diverticulosis

Treatment

Clear-liquid diet initially

High-fiber diet

Abx

  1. PO
    1. Bactrim/Cipro + Flagyl
    2. Augmentin
    3. Moxifloxacin
  2. IV
    1. CTX + Flagyl
    2. Unasyn
    3. Zosyn
    4. Imipenem
    5. Levaquin
    6. etc.

Dispo

  1. Outpt
    1. Simple diverticulitis
    2. tol po
    3. social support
    4. able to f/u in 48-72h
  2. Admit
    1. Comorbidities
    2. complicated disease
      1. assoc abscess
      2. bowel wall >4mm
      3. obstruction
      4. ill appearance
  3. Surgery/IR
    1. Abscesses >4cm
    2. fistulas