Clinical Knowledge Question Results

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Question: Advice for an immunocompetent patient who is being discharged following response to medical treatment for a first episode of uncomplicated acute diverticulitis should include:

23% of
Medical Professionals
Chose A

 

32% of
Medical Professionals
Chose B

 

23% of
Medical Professionals
Chose C

23% of
Medical Professionals
Chose D


Answer: D. The risk of colorectal cancer is two- to four-times greater in patients with acute diverticulitis than the general population, and colonoscopy is indicated after an episode of acute diverticulitis unless recently performed. Patients are reassessed six to eight weeks after successful treatment of acute diverticulitis. Those with persistent symptoms may have chronic smoldering diverticulitis and are referred for surgical evaluation, but elective surgery is not routinely indicated for asymptomatic patients who have had uncomplicated diverticulitis. Patients should be advised to eat a high fiber diet but there is no need to avoid seeds, corn or nuts.
 

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