During my site evaluation, I presented a patient who was scheduled for a sigmoid resection for recurring, complicated diverticulitis. We discussed how diverticulitis can present in different ways, the signs and symptoms, and how it appears on a CT scan. In addition, I also presented 10 drug cards and an article on diverticulitis and the differences in patient outcomes between laparoscopic lavage versus colonic resection in acute perforated diverticulitis.

We discussed the types of antibiotics that can be used pre-operatively for patients who are penicillin allergic. I stated that in patients with a penicillin or cephalosporin allergy, the recommended antibiotic regimen is clindamycin and one of the following: ciprofloxacin, levofloxacin, gentamicin, or aztreonam. In addition, I discussed what balanced anesthesia is and how it is a combination of potent opioids, benzodiazepines, and low-dose inhalational agents, with or without muscle relaxants.

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