14 results
C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
- IBD Algorithm ... Complications CDI ... Testing Algorithm ... CDI Recurrence ... Clostridioides #difficile #CDiff
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Epidemiology: • #1 ... ) • ↑Risk: clindamycin ... Lowest Risk: Tetracyclines ... 10 mg/kg IV x 1 ... #Cdiff #Clostridioides
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... fistula • ↑ risk ... if colonic CD ... has carcinoma risk
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... clinical remission • Risk ... disease control • 1/ ... modifications Algorithm ... #Algorithm #diagnosis
A proposed management algorithm for CDI in patients with inflammatory bowel disease. *Severe-complicated CDI is defined
proposed management algorithm ... for CDI in patients ... Severe-complicated CDI ... #CDI #CDiff #clostridiumdifficile ... #IBD #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Colitis - Management Algorithm ... Diff. & CMV COVID ... Optimize Nutrition • CNI ... UC #Management #Algorithm ... #IBD #Treatment
Perioperative IBD Pharmacotherapy Management 
Immunomodulators:
 • Stop MTX one week prior to elective surgery
 • Stop
Perioperative IBD ... resume post op day 1 ... • Resume in CD ... patients at high risk ... Perioperative #IBD
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
disease ~= Increased risk ... Infection (CMV, c-Diff ... rectal prolapse, CD ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Pre-Op Questions: 1. ... > 1% risk of CV ... event, follow ACC algorithm ... Cataract Plan for Meds ... : 1.
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... presenting with chest/abd ... Assess for high risk ... Marfans, EDS