Question

"69 y M with fever, leukocytosis, and LLQ pain. Dx?diverticulitis Diagnostic Testing? CT scan - DO NOT DO COLONOSCOPY GI abx strategies? MAG - Metro, Amox, Genta or Ciproflox + Metro what is the Dx if pt px weeks later with recurrent UTIs and U/A showing air and fecal material?"

Answer 1

Diverticulitis is the likely diagnosis for a 69-year-old male with fever, leukocytosis, and LLQ pain. A CT scan can confirm the diagnosis. The recommended GI antibiotic strategies for diverticulitis include MAG or Ciprofloxacin + Metro. Recurrent UTIs with air and fecal material in the U/A may suggest a complication like colovesical fistula.

Step-by-step explanation:

The diagnosis for a 69-year-old male with fever, leukocytosis, and LLQ pain is diverticulitis. Diverticulitis is a digestive disease in which tiny pouches in the wall of the large intestine become infected and inflamed. A CT scan is commonly used for diagnostic testing to confirm diverticulitis.

In terms of the GI antibiotic strategies for diverticulitis, the recommended options include MAG (Metro, Amox, Genta) or Ciprofloxacin + Metro.

If the patient presents with recurrent UTIs weeks later and the urinalysis (U/A) shows air and fecal material, it may indicate a complication of diverticulitis, such as a fistula formation between the colon and urinary system. This condition is known as colovesical fistula.