Page 258 - 2021 IDMT Digital
P. 258
DIVERTICULOSIS
Introduction:
• 3UHVHQFH RI FRORQLF GLYHUWLFXOD YDU\LQJ IURP D IHZ PLOOLPHWHUV WR VHYHUDO FHQWLPHWHUV
o 'LYHUWLFXOD VDFOLNH PXFRVDO RXWSRXFKLQJV WKDW SURWUXGH IURP D WXEXODU VXUIDFH
• ,QFLGHQFH LQFUHDVHV ZLWK DJH DW DJH
• 0RVW DUH DV\PSWRPDWLF DQG IRXQG LQFLGHQWDOO\ DW HQGRVFRS\
o 'LYHUWLFXOD RQO\ FDXVH V\PSWRPV LI they become LQIODPHG RU LQIHFWHG
UHVXOWLQJ LQ GLYHUWLFXOLWLV
• (WLRORJ\ LV XQFHUWDLQ PD\ UHVXOW IURP D OLIHORQJ ORZ ILEHU GLHW
Subjective:
• 6LJQV DQG 6\PSWRPV
o KDYH XQFRPSOLFDWHG GLVHDVH DQG QR VSHFLILF V\PSWRPV
o 6RPH SDWLHQWV KDYH QRQ-VSHFLILF FRPSODLQWV RI DEGRPLQDO SDLQ FRQVWLSDWLRQ DQG
IOXFWXDWLQJ ERZHO KDELWV
• )RFXVHG +LVWRU\
o 'LHW DQG ILEHU LQWDNH
Objective:
• 3K\VLFDO ([DP
o 8VXDOO\ QRUPDO
o $EGRPLQDO H[DP PD\ UHYHDO PLOG //4 WHQGHUQHVV
Assessment:
• 'LDJQRVHG RQO\ DIWHU LPDJLQJ RU HQGRVFRS\ EDULXP HQHPD &7 05, FRORQRVFRS\
• 1R UHDO GLIIHUHQWLDO DIWHU GLYHUWLFXOD DUH QRWHG RQ LPDJLQJ
Plan:
• (QFRXUDJH D KLJK ILEHU GLHW
• )LEHU VXSSOHPHQWV
o 3V\OOLXP
o 0HWK\OFHOOXORVH
Patient Education:
• )ROORZ XS $FWLRQV
o ,Q D SDWLHQW ZLWK NQRZQ GLYHUWLFXORVLV SURFHHG WR (5 RU (9$& IRU VLJQV RI
GLYHUWLFXOLWLV WHQGHUQHVV LQ WKH OHIW ORZHU TXDGUDQW DQG IHYHU
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103
[ 257 ]

