Surg: Diverticulitis: Free MSRA Podcast

🔥 FREE MSRA PODCAST – Diverticulitis: Inflammation, Imaging& Interventions 🎧Welcome to the DeepDive! Today, we’re unpacking everything you need to know about Diverticulitis – a common but potentiallyserious GI condition. Whether you’re prepping for the MSRA, seeing patients in primary care, or just need to sharpenyour recall, this episode is your go-to audiorevision tool. 🧠Key Learning Points📌Definition &Overview• Diverticulitis =inflammation or infection of colonic diverticula• Usually found inthe sigmoid colon• Distinct from: – Diverticulosis (just having pouches) – Diverticular disease (symptoms but no itis) 📌Aetiology & RiskFactors• Obstruction of adiverticulum by stool or bacteria → inflammation• Risk factors –mnemonic: OLD NOSH – Old age – Low fibre diet – Drugs: NSAIDs, paracetamol – Nicotine (smoking) – Obesity – Sedentary lifestyle – History of diverticulitis 📌PathophysiologyWeak colonic wall → diverticulaBlocked pouch → stasis → bacterial overgrowthInflammation ± infection→ May progress to abscess, perforation, or sepsis 📌Symptoms & Signs• LLQ abdominal pain (or RLQ in Asian patients)• Fever, chills,nausea ± diarrhoea/constipation• Palpabletenderness or mass in LLQ• Always considercomplications: – Abscess, Perforation, Fistula, Obstruction,Peritonitis🧠 Mnemonic: A POF-FP =Abscess, Perforation, Obstruction, Fistula, Peritonitis 📌Differentials• IBS (but nofever/inflammatory markers)• IBD (Crohn’s/UC)• Colorectal cancer• Appendicitis• Gastroenteritis 📌Investigations🧪 Bloods: ↑ CRP, ↑ WCC🖥️CT Abdomen withcontrast = investigation of choice• Shows inflamedpouches, abscesses, free air/fluid📷 Colonoscopy – delayed 6weeks post-episode• Exclude cancer❌ Avoid colonoscopy during acute flare (risk ofperforation) 📌Management🟢Uncomplicated (mild):• Oral antibiotics• Clear fluids →low-residue diet• Paracetamol forpain🟠Complicated/severe:• Hospital admission• IV antibiotics• NBM + IV fluids• Monitor obs &CRP• Percutaneous drainage for large abscesses• Surgery (colectomy) for perforation,obstruction, failure to improve, or recurrent attacks 📌Long-term Prevention• High fibre diet• Stop smoking• Maintain healthyweight• Regular physicalactivity• Colonoscopyfollow-up after acute resolution 📌Prognosis✅ Most uncomplicated cases resolve in 5–7 days⚠️ Recurrence in ~30%🚨 Perforated diverticulitis has higher mortality📉 Most serious complications occur in first attack 📎More MSRA Resourcesfor Diverticulitis📝 Revision Notes:https://www.passthemsra.com/topic/diverticulitis-revision-notes/🧠 Flashcards:https://www.passthemsra.com/topic/diverticulitis-flashcards/💬 Accordion Q&A Notes:https://www.passthemsra.com/topic/diverticulitis-accordion-qa-notes/🚀 Rapid Quiz:https://www.passthemsra.com/topic/diverticulitis-rapid-quiz/🧪 Mock Quiz:https://www.passthemsra.com/quizzes/diverticulitis/🎓 Full Surgery Course:https://www.passthemsra.com/courses/surgery-for-the-msra/ #MSRA#Diverticulitis #MSRARevisionNotes #MSRAFlashcards #MSRAQuiz #MSRASurgery#LowerAbdominalPain #PassTheMSRA #FreeMSRA #Gastroenterology #Diverticulosis#SigmoidPain #MedicalRevisionUK #GPTrainingUK#MultiSpecialtyRecruitmentAssessment