Diverticulitis 게실염 (Eng/Kor) for NCLEX

Diverticulitis

English Definition

Diverticulitis is the inflammation or infection of diverticula (small pouches) in the colon.
It occurs when stool or bacteria get trapped in the pouches.

Korean Definition (한국어 정의)

**게실염(diverticulitis)**은 **대장 벽의 작은 주머니(게실)**에 염증 또는 감염이 생긴 상태입니다.
대변이나 세균이 주머니에 갇혀 발생합니다.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Main Symptoms (증상)

• Left lower quadrant (LLQ) abdominal pain (가장 특징적)
• Fever 발열
• Nausea & vomiting 메스꺼움/구토
• Diarrhea or constipation 설사 또는 변비
• Abdominal tenderness 복부 압통
• Elevated WBC 백혈구 증가 (감염)

 

Key Characteristics (특징)

• Pain typically in LLQ (vs appendicitis = RLQ)
• May lead to abscess, perforation, peritonitis, bleeding
• Avoid colonoscopy during acute phase

Korean:

• 통증은 보통 좌하복부(LLQ)
• 농양, 천공, 복막염, 출혈 등 합병증 가능
• 급성기에는 대장내시경 금기

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Diagnostics (진단)

• CT scan of abdomen = best test
• ↑ WBC
• Possible fever
• Not diagnosed using colonoscopy during acute episode

Treatment (치료)

Acute (Mild) Diverticulitis

• Bowel rest
  • Clear liquid diet
• Oral antibiotics
  • Ciprofloxacin + Metronidazole
  • Or other broad-spectrum antibiotics
• Pain control (avoid opioids if possible)

Severe Diverticulitis

• NPO
• IV fluids
• IV antibiotics
• Hospitalization
• Possible surgery if:
  • Perforation
  • Abscess not drained
  • Recurrent episodes

 Diet (식이)

During acute inflammation:

• Clear liquids → advance as tolerated
• Avoid high-fiber initially

After recovery:

• High-fiber diet recommended
• Increase water intake
• Avoid seeds/nuts only if patient-specific sensitivity (not absolute contraindication)

Nursing Considerations (간호)

• Monitor bowel sounds
• Assess for perforation (rigid abdomen, severe pain)
• Monitor WBC, fever
• Teach high-fiber diet after recovery
• Avoid NSAIDs (risk of bleeding/perforation ↑)