Single (diverticulum) or multiple (diverticula) colonic wall outpouchings from colonic muscle dysfunction, usually acquired
Insufficient amounts of dietary fiber cause dimini...
Chronic or intermittent abdominal pain
Often precipitated by eating
Sometimes relieved by flatulence or bowel movement
Change in bowel pattern
Constipation or diarrhea
Avoid opiates in abdominal pain when underlying cause is uncertain.
Establish 2 large-bore IV lines
For significant bleeding or hypotension:
1–2 L (20 mL/kg) bolus 0.9% NS intraveno...
ICU if unstable with massive hemorrhagic diverticulosis
Mild or intermittent hemorrhagic diverticulosis that is otherwise stable so as to determine site of bleedi...
15% with hematochezia have an upper GI source
Most cases (75–95%) resolve spontaneously or with conservative management
Massive blood loss seen in 9–19% of patients, especially those...
Bono MJ. Lower gastrointestinal tract bleeding. Emerg Med Clin North Am. 1996;14(3):547–556.
Köhler L, Sauerland S, Neugebauer E. Diagnosis and treatment of diverticular di...
562.10 Diverticulosis of colon (without mention of hemorrhage)
562.12 Diverticulosis of colon with hemorrhage
751.5 Other anomalies of intestine
K57.30 Dvrtclos of lg int w/o perforation o...
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