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COLORECTAL DISEASE
Case #4 -
A 62 year old with LLQ pain

DISCUSSION QUESTIONS:
1.) What additional history is needed?  Answer 
2.) On physical exam what other pertinent findings should be noted?  Answer 
3.) What is the differential diagnosis in this patient?  Answer 
4.) How would you define a diverticulum? What is the difference between a true and a false diverticulum? Which of these is the variety found in the colon?  Answer 
5.) How would you define diverticulosis? What is the possible etiology?  Answer 
6.) How would you define diverticulitis?  Answer 
7.) What is the role of CT scan in the diagnostic evaluation of diverticulitis?  Answer 
8.) When should you do colonoscopy or barium studies?  Answer 
9.) What are the various complications of diverticulitis?  Answer 
10.) What is the management of uncomplicated diverticulitis?  Answer 
11.) What is the management of diverticular abscess?  Answer 
12.) What is the management of free (uncontained) perforation?  Answer 
13.) What are the indications for emergent surgery? What procedure is usually done?  Answer 
15.) What other diagnosis must be ruled out after an episode of diverticulitis?  Answer 
14.) What are the indications for elective surgery? What procedure is usually done?  Answer 
 
  The Virtual Patient > Case List > COLORECTAL DISEASE - Case # 4