Nursing HDP401 Lecture Notes - Lecture 3: Costovertebral Angle Tenderness, Diverticular Disease, Gastrointestinal Perforation
14 Apr 2016
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Document Summary
Divericular disease includes a spectrum of condiions ranging from asymptomaic divericular disease, to symptomaic uncomplicated divericular disease, to and complicated divericular disease that includes acute and chronic divericuliis. Divericuliis is deined as an inlammaion of one or more divericula, which are small pouches created by herniaion of mucosa into the wall of the colon. Divericuliis is generally considered a disease of the elderly, but as many as 20% of paients with divericuliis are younger than 50 years. In its chronic form, paients may have recurrent bouts of low-grade or overt divericuliis. In simple divericuliis, localized abdominal tenderness in the area of the afected divericula and fever. Let lower quadrant tenderness is most common, as most divericula occur in the sigmoid colon. Right lower quadrant tenderness, mimicking acute appendiciis, can occur in right-sided divericuliis. In complicated divericuliis with abscess formaion, a tender palpable mass.
