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1.
Possible considerations: the elevated WBC and CRP levels indicate an inflammatory or infectious process, which is concerning, given the patient's history of diverticular disease. The increased abdominal pain and fever are also worrying signs.
2.
The most concerning information is the elevated WBC count and CRP levels, combined with the findings from the CT scan indicating acute diverticulitis with pericolonic fat stranding. This suggests a significant inflammatory process that could lead to complications if not promptly managed.
3.
An expected finding is the presence of inflamed diverticula in the sigmoid colon, because the patient has a known history of diverticular disease. The mild fever and elevated inflammatory markers (WBC and CRP) are also expected in the context of acute diverticulitis.
4.
It is important to question if the patient has any history of allergic reactions to the prescribed antibiotics (ciprofloxacin and metronidazole). Additionally, considering the patient’s decreased appetite and occasional nausea, it may be necessary to assess for any potential adverse reactions to the medications or need for adjustments in pain management. Furthermore, questioning the adequacy of the current antibiotic regimen and considering the need for IV antibiotics or hospitalization should be discussed with the health-care team.