A 70-year-old has suspected acute uncomplicated diverticulitis confirmed by CT. He is afebrile, normal WBC, tolerating PO, no immunosuppression. Best ...

Question

A 70-year-old has suspected acute uncomplicated diverticulitis confirmed by CT. He is afebrile, normal WBC, tolerating PO, no immunosuppression. Best outpatient plan?

Accepted Answer

High-fiber diet during acute episode

Answer

Routine antibiotics for all for 10 days

Answer

No antibiotics; clear liquids, analgesia, close follow-up; colonoscopy in 6-8 weeks to exclude malignancy if not done recently

Answer

Immediate colonoscopy to confirm

Answer

Admit for IV antibiotics

us-abfm MCQ (SBA): Acute Uncomplicated Diverticulitis

A 70-year-old has suspected acute uncomplicated diverticulitis confirmed by CT. He is afebrile, normal WBC, tolerating PO, no immunosuppression. Best outpatient plan?