Diverticulitis
· Diagnostics
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, abdominal CT with or without contrast and this provides the most
information about the presence, location, and extent of the inflammation.
A barium enema may be needed to diagnose diverticulosis.
CBC will show leukocytosis.
electrolytes,
UA
Young female? HCG
a sedimentation rate.
A colonoscopy or flexible sigmoidoscopy should be done to rule out
malignancy, ulcerative colitis, or ischemic colitis. Colonoscopy is
recommended four to six weeks after resolution of symptoms.
Colonoscopy and flexible sigmoidoscopy are usually contraindicated
during an acute diverticular episode
PUD prevention
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Drink alcohol in moderation; Smoking cessation; Use stress management
techni-ques; Avoid NSAIDS instead use tylenol or NSAIDS with low dose
PPI. OR NSAID combination with a PPI or misoprostol(post partum
bleeding drug)
GERD causes (3), symptoms (3)
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Reflux, hiatal hernia, incomp esophageal sphincter. Indig, hrtbrn, sour
stomach.
, IBS
· Non pharm management?
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would be to relieve the symptoms and improve quality of life. You would
want to determine if the patient has diarrhea predominant, constipation
predominant, or the mixed type. These patients should be exercising three
to five times per week. This has been shown in studies to decrease severity.
You would want them to keep a food diary to determine food triggers. And
foods that have been found to be associated with IBS symptoms include
vegetables, legumes, fruit, tea, and fiber rich foods which may increase the
intestinal peristalsis.
GERD mangement in Infants
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Infants with esophageal reflux should use a car seat for about two to
three hours after meals and they should also be given thickened
feedings
Metoclopramide (Reglan) okay with kiddos?
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No...can cause extrapyramidal symptoms in ppl <20 yoa, tardive dyskinesia,
hepatotoxicity and should be avoided with central nervous system
depressants. not recommended in children. weight.
· Diagnostics
Give this one a try later!
, abdominal CT with or without contrast and this provides the most
information about the presence, location, and extent of the inflammation.
A barium enema may be needed to diagnose diverticulosis.
CBC will show leukocytosis.
electrolytes,
UA
Young female? HCG
a sedimentation rate.
A colonoscopy or flexible sigmoidoscopy should be done to rule out
malignancy, ulcerative colitis, or ischemic colitis. Colonoscopy is
recommended four to six weeks after resolution of symptoms.
Colonoscopy and flexible sigmoidoscopy are usually contraindicated
during an acute diverticular episode
PUD prevention
Give this one a try later!
Drink alcohol in moderation; Smoking cessation; Use stress management
techni-ques; Avoid NSAIDS instead use tylenol or NSAIDS with low dose
PPI. OR NSAID combination with a PPI or misoprostol(post partum
bleeding drug)
GERD causes (3), symptoms (3)
Give this one a try later!
Reflux, hiatal hernia, incomp esophageal sphincter. Indig, hrtbrn, sour
stomach.
, IBS
· Non pharm management?
Give this one a try later!
would be to relieve the symptoms and improve quality of life. You would
want to determine if the patient has diarrhea predominant, constipation
predominant, or the mixed type. These patients should be exercising three
to five times per week. This has been shown in studies to decrease severity.
You would want them to keep a food diary to determine food triggers. And
foods that have been found to be associated with IBS symptoms include
vegetables, legumes, fruit, tea, and fiber rich foods which may increase the
intestinal peristalsis.
GERD mangement in Infants
Give this one a try later!
Infants with esophageal reflux should use a car seat for about two to
three hours after meals and they should also be given thickened
feedings
Metoclopramide (Reglan) okay with kiddos?
Give this one a try later!
No...can cause extrapyramidal symptoms in ppl <20 yoa, tardive dyskinesia,
hepatotoxicity and should be avoided with central nervous system
depressants. not recommended in children. weight.
