15 results
Health Maintenance Checklist for Adult IBD Patients

Vaccine Preventable Diseases: Influenza (inactive), Pneumococcal PCV13, Pneumococcal PPSV23, Tdap,
Vaccine Preventable Diseases ... Herpes Zoster Cancer ... , Skin screen, Colonoscopy ... #inflammatory #bowel ... #hcm #gastroenterology
Extraintestinal manifestations of Crohn’s disease
Dermatological: Aphthous stomatitis, Erythema nodosum, Psoriasis, Pyoderma gangrenosum
Vascular: Portal hypertension, Thromboembolism, Thrombosis,
manifestations of Crohn’s disease ... Cirrhosis, Colorectal cancer ... , Small-bowel cancer ... Metabolic bone disease ... IBD #diagnosis #gastroenterology
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Irritable bowel ... Previous gastric ... Systemic disease ... occult blood - Colonoscopy ... biopsy - Small bowel
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
risk • Routine colonoscopy ... red flags - Low chance ... Rule out celiac disease ... disease w/ fecal ... Diagnosis #workup #gastroenterology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Test for celiac disease ... serology first Small bowel ... perform routine gastric ... identification of small bowel ... workup #diagnosis #gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Intolerance • Celiac Disease ... Gastroparesis • Chronic Gastric ... • Irritable Bowel ... Algorithm #Treatment #gastroenterology
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBS (irritable bowel ... syndrome), Cancer ... #inflammatroy #bowel ... #disease #mimics ... differential #diagnosis #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
AMI • PUD • Gastric ... • Irritable bowel ... • Inflammatory bowel ... • Necrotic bowel ... Differential #Diagnosis #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Other than EGD + Colonoscopy ... diseases • Contraindicated ... in small-bowel ... disease Deep Enteroscopy ... GIBleed #management #gastroenterology
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Thiopurine Assess Disease ... Activity: Colonoscopy ... +/- EGD, Small Bowel ... ESR • Active Disease ... algorithm #management #gastroenterology