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C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
ABx) → Acute Diarrhea ... Pseudomembranous colitis ... → Fulminant Colitis ... immunocompromised, IBD ... #infectiousdiseases
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Drug Adherence • Disease ... Assessment (bloody diarrhea ... UC > non-bloody diarrhea ... JAK Inhibitor Algorithm ... #Management #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Severe Ulcerative Colitis ... Adherence • Assess Disease ... Referral to Optimize Nutrition ... • CNI + Steroid ... #IBD #Treatment
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
between ischemic colitis ... scripts and initial treatment ... algorithms. ... Sudden onset • Abd ... tenderness, bloody diarrhea
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
Inflammatory Bowel Disease ... of diet therapy CD ... in Sx, but not disease ... pain, wind and diarrhea ... table #management #treatment
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
pain, diarrhea ... related to IBD, ... celiac disease, ... Check for IF ab Treatment ... diagnosis #management #nutrition
IDSA Recommendations for Preventing and Managing Cryptosporidiosis in HIV-AIDS
Preventing Chronic Cryptosporidiosis:
 • Because chronic cryptosporidiosis occurs
should prevent the disease ... restoration to CD4 ... of diarrhea with ... loperamide as an anti-diarrheal ... 500–1000 mg PO BID
IDSA Recommendations for Preventing and Managing Microsporidiosis in HIV-AIDS
Preventing Chronic Microsporidiosis:
 • Because chronic microsporidiosis occurs
should prevent the disease ... fluid support and nutritional ... can be used for diarrhea ... : • The best treatment ... IDSA #Prevention #Treatment