Gastroenterology & Hepatology — Flashcards

Flashcard 781: 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 782: What investigation of choice in diverticulitis? _____

Answer: CT scan w/oral & IV contrast

Flashcard 783: _____ describes the presence of diverticula that are inflamed/infected

Answer: Diverticulitis

Flashcard 784: What is the management of mild diverticulitis? _____

Answer: Antibiotics, analgesia, & liquid diet

Flashcard 785: What is the management of moderate to severe diverticulitis? _____

Answer: Hospitalisation!! → IV Antibiotics, analgesia, & IV fluids

Flashcard 786: What investigations must be AVOIDED in acute diverticulitis? _____

Answer: Colonoscopy or barium enema

Flashcard 787: 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 788: Rifampin _____ cytochrome p450

Answer: induces

Flashcard 789: 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 790: Diverticular disease is primarily a disease of _____

Answer: the elderly