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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#29 (reveal difficulty score)
A 66-year-old woman has had lower abdominal ...
Diverticulitis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: GI marked

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submitted by โˆ—step_prep3(25)
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  • Key idea: Diverticulitis classically leads to dull LLQ pain, nausea/vomiting, alteration in bowel habits and bladder symptoms (sterile pyuria, dysuria, etc.) +/- tender LLQ mass
  • Key idea: Diverticulitis treated with bowel rest and antibiotics (ciprofloxacin + metronidazole) and followed up 4-8 weeks later with colonoscopy (colonic malignancy can mimic the presentation and CT findings seen in diverticulitis)
  • Key idea: Indications for surgery in setting of acute diverticulitis (1) Emergency operation (peritonitis, abscess, etc.) (2) Any patient who has survived 2 episodes of acute diverticulitis should have elective removal of affected area to prevent recurrence

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danielle359x  Pneumaturia=fistula=probably diverticulitis +5
yb_26  colovesical fistula can occur is setting of diverticulitis, Crohn's disease, malignancy +1
jurrutia  The posts from step_prep3 are consistently less useful than the subcoments +2



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submitted by โˆ—charcot_bouchard(574)
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Diveritculitis, Crohns > UC; all 3 can cause fistula. In an elderly pt diverticulitis is way more likely than new onset IBD.

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