Failure to Diagnose & Delay in Treatment of Acute Abdomen Due to Diverticulitis

Evaluate breaches in the standard of care when addressing Failure to Diagnose & Delay in Treatment of Acute Abdomen Due to Diverticulitis

Answer the following questions to find out if the standard of care was followed for your case.

  • Did the patient present with the symptoms of acute diverticulitis?
    Yes
    No
    Symptoms not elicited
    Answer unknown
    Why is this important?
    The symptoms of diverticulitis are non-specific and are frequently confused with other gastrointestinal and urinary conditions.
    (2009) 38 EGASCN 3 513

  • Was a detailed medical history obtained? Why is this important?
    Answer this question
    
Pain in the left lower quadrant associated with low-grade fevers, change in bowel movements and mild leukocytosis are the classic clinical signs and symptoms of diverticulitis.

    (2009) 38 EGASCN 3 513 



  • Was a thorough physical examination performed? Why is this important?
    Answer this question
    
The physical examination may reveal tenderness in the right or left lower abdominal quadrants and occasionally the presence of a palpable tender mass.

    (2009) 38 EGASCN 3 513 



  • Was the patient treated, discharged, and later found to have diverticulitis? Why is this important?
    Answer this question
    
The symptoms of diverticulitis are non-specific and are frequently confused with other gastrointestinal and urinary conditions.

    (2009) 38 EGASCN 3 513 



  • Was diverticulitis considered as one of the differential diagnoses? Why is this important?
    Answer this question
    
The differential diagnosis list for diverticulitis is extensive.

    (2003) 21 EMDCNA 4 937 



  • Which of the following diagnostic laboratory studies was performed? Why is this important?
    Answer this question
    
Diagnostic laboratory evaluations must include complete blood cell count with differential analysis and urinalysis.

    (2009) 38 EGASCN 3 513 



  • Did the clinican order any of the following imaging studies? Why is this important?
    Answer this question
    
A CT of abdomen is the diagnostic test of choice for patients suspected of having diverticulitis. It can assess the colonic pathology and also allows for therapeutic intervention.

    (2009) 38 EGASCN 3 513 



  • Was the patient referred to a surgical gastroenterologist? Why is this important?
    Answer this question
    
Recurrent episodes of diverticulitis, worsening symptoms despite medical treatment, the presence of complicated disease, and acute episodes in immuno-compromised patients, warrant gastro-surgical consultation.

    (2009) 38 EGASCN 3 513 



  • Was a diagnostic laparotomy/laparoscopy performed? Why is this important?
    Answer this question
    
In a patient who is unstable, deteriorating medically and has signs of an acute abdomen, laparotomy/laparoscopy must be considered.

    (1998) 51 UROLOG 6 917