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Diverticulitis Decision Rule
May 10, 2015
•
Mark Morgan
categories:
Gastroenterology & Hepatology
Diverticulitis Decision Rule
No
YES
<-- Direct tenderness only in the left lower quadrant
No
YES
<-- Absence of vomiting
No
YES
<-- C-reactive protein >50 mg/L
Interpretation -->
Interpretation
score=(Q1)+(Q2)+(Q3);
score>2?'Diverticulitis Likely - Imaging not required - 97 percent positive predictive value for suspected cases':'Unable to Diagnose Clinically - Imaging required'
display/hide references
reference:
#1
Laméris W, van Randen A, van Gulik TM, Busch OR, Winkelhagen J, Bossuyt PM, Stoker J, Boermeester MA. A clinical decision rule to establish the diagnosis of acute diverticulitis at the emergency department. Dis Colon Rectum. 2010 Jun;53(6):896-904.
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