Diverticulitis resident survival guide: Difference between revisions

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Revision as of 21:16, 19 February 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Andrea Tamayo Soto [2]

Definition

Causes

Life Threatening Causes

Common Causes

Management

Diagnostic Approach

Shown below is an algorithm depicting the diagnostic approach to diverticulitis

Characterize the symptoms: ❑ Chest pain ❑ Absence of physical exertion ❑ Duration> 20 minutes ❑ Radiation to the jaw or left arm ❑ No relief with medications ❑ No relief with rest ❑ Worse with time ❑ Nausea ❑ Vomiting ❑ Sweating



Obtain a detailed history: ❑ Age ❑ Previous MI ❑ Previous PCI or CABG ❑ Cardiac risk factors: ❑ Hypertension ❑ Diabetes ❑ Hypercholesterolemia ❑ Tobacco use



Examine the patient: ❑ Measure the blood pressure ❑ Measure the heart rate ❑ Auscultate the heart searching for murmurs ❑ Search for signs of CHF ❑ Decreased air entry in the lungs ❑ Edema in the extremities



Order labs and tests: ❑ EKG ❑ Biomarkers ❑ Troponin I ❑ CK-MB ❑ Creatinine ❑ Glucose ❑ Hemoglobin

Therapeutic Approach

Shown below is an algorithm depicting the therapeutic approach to

Do´s

Don'ts

References

Template:WikiDoc Sources

@@ Line 14: / Line 14: @@
 ===Diagnostic Approach===
-Shown below is an algorithm depicting the diagnostic approach to
+Shown below is an algorithm depicting the diagnostic approach to diverticulitis
+{{Family tree/start}}
+{{familytree  | A01 | A01=  '''Characterize the symptoms:''' <br> <div style="float: left; text-align: left;">
+❑ [[Chest pain]]<br>
+:❑ Absence of physical exertion <br>
+:❑ Duration> 20 minutes <br>
+:❑ Radiation to the jaw or left arm
+:❑ No relief with medications<br>
+:❑ No relief with rest <br>
+:❑ Worse with time <br>
+❑ [[Nausea]] <br>
+❑ Vomiting <br>
+❑ Sweating</div>}}
+{{familytree  | |!| | }}
+{{familytree  | B01 | B01=   '''Obtain a detailed history:''' <br><div style="float: left; text-align: left;">
+❑ Age <br>
+❑ Previous [[MI]] <br>
+❑ Previous [[PCI]] or [[CABG]] <br>
+❑ Cardiac risk factors: <br>
+:❑ [[Hypertension]] <br>
+:❑ [[Diabetes]] <br>
+:❑ [[Hypercholesterolemia]] <br>
+:❑ Tobacco use </div>}}
+{{familytree  | |!| | }}
+{{familytree  | C01 | C01=  '''Examine the patient:''' <br> <div style="float: left; text-align: left;">
+❑ Measure the [[blood pressure]] <br>
+❑ Measure the [[heart rate]] <br>
+❑ Auscultate the heart searching for murmurs <br>
+❑ Search for signs of [[CHF]]
+:❑ Decreased air entry in the lungs
+:❑ Edema in the extremities </div>}}
+{{familytree  | |!| | }}
+{{familytree  | D01 | D01=   '''Order labs and tests:''' <br><div style="float: left; text-align: left;">
+❑ [[EKG]] <br>
+❑ Biomarkers <br>
+:❑ Troponin I<br>
+:❑ CK-MB <br>
+❑ [[Creatinine]] <br>
+❑ [[Glucose]] <br>
+❑ [[Hemoglobin]] </div>}}
+{{Family tree/end}}
 ===Therapeutic Approach===