Gastroenterology & Hepatology — Flashcards

Flashcard 781: _____ describes the presence of diverticula that are inflamed/infected

Answer: Diverticulitis

Flashcard 782: If acute diverticulitis is being treated at home (antibiotics, analgesia, & liquid diet) but does NOT get better in _____ then consider hospital admission

Answer: 72 hours

Flashcard 783: _____ describes the presence of diverticula without causing symptoms

Answer: Diverticulosis

Flashcard 784: _____ is the test of choice for diagnosing diverticulitis while it can be followed up with colonoscopy to assess the extent of diverticulitis and rule out malignancy

Answer: Abdominal CT with oral and IV contrast

Flashcard 785: What is the suspected pathophysiology of diverticula? _____

Answer: Lack of fibre means muscles in the colon have to work harder thus causing increased pressure which can result in out-pouchings

Flashcard 786: What is the next step in management for a patient being treated with RIPE therapy for TB for the past month that develops mild elevations in AST/ALT? _____

Answer: Continue with current treatment; monitor LFTs

Flashcard 787: On palpation of diverticulitis there is _____

Answer: a tender lower quadrant & in 20% of cases a palpable mass can be felt

Flashcard 788: Diverticular disease (diverticulosis) can be diagnosed via _____, while acute diverticulitis is best diagnosed via CT abdomen with IV contrast.

Answer: colonoscopy or barium enema

Extra: Diverticular disease is a broad term encompassing: 1. **Diverticulosis:** Presence of diverticula (asymptomatic). Diagnosed via colonoscopy or barium enema. 2. **Diverticulitis:** Inflammation/infection. Diagnosed via CT scan. *Important:* Avoid colonoscopy in acute diverticulitis due to the risk of bowel perforation.

Flashcard 789: What tuberculosis drug is most commonly associated with liver injury? _____

Answer: Isoniazid

Flashcard 790: _____ & opioids should be avoided in diverticular disease because of increased risk of rupture

Answer: NSAIDs