emDOCs.net Emergency Medicine (EM) Podcast
Episode 88: ED Evaluation of Diverticulitis
Oct 17, 2023
Join Brit Long, MD as he discusses the ED evaluation of diverticulitis, focusing on the importance of history, physical exam, and CT imaging. Learn about diagnostic indicators, clinical evaluation, imaging considerations, and guidelines for CT imaging in diagnosing diverticulitis.
15:16
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Quick takeaways
- Abdominal pain in the left lower quadrant and tenderness indicate diverticulitis, while elevated CRP levels suggest complications.
- CT imaging is crucial for diagnosing diverticulitis and assessing complications, but guidelines vary based on clinical factors.
Deep dives
History and Examination Findings in Diverticulitis
Key findings during initial evaluation include abdominal pain in the left lower quadrant, tenderness in the same region, and alterations in bowel habits. Abdominal pain is the most common symptom, particularly on the left side, with a positive likelihood ratio for diverticulitis. Tenderness in the left lower quadrant indicates a higher likelihood of the condition. Changes in bowel habits, including constipation and diarrhea, are prevalent. Systemic symptoms like fever can be present, but signs of peritonitis suggest acute complications.
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