Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of left lower quadrant (LLQ) abdominal pain, associated with fever, chills, and altered bowel habits. Symptoms are progressive over [Number] days. No history of prior diverticulitis. Patient denies hematochezia or signs of peritonitis.
Clinical Examination Findings
Abdominal examination reveals localized tenderness in the LLQ with guarding. No rebound tenderness or rigidity noted. Bowel sounds are hypoactive. Digital rectal exam is negative for masses or blood. Vital signs stable, though febrile.
Treatment Protocol
Diagnosis confirmed via CT scan as Hinchey [I/II] diverticulitis with [Size] cm abscess. Plan: Admit for bowel rest, IV fluids, and broad-spectrum IV antibiotics (e.g., Ceftriaxone + Metronidazole). Consider IR-guided percutaneous drainage if abscess >3cm. Monitor for clinical improvement; surgical consultation for potential elective resection if recurrent or non-responsive.