13 results
C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

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

Clinical Presentation + Progression:
Difficile Infection ... Pseudomembranous colitis ... → Fulminant Colitis ... 10 mg/kg IV x 1 ... #Cdiff #Clostridioides
Acute Diarrhea - Differential Diagnostic Algorithm
Watery/Large Volume (Small Bowel)
 • Viral
 • Bacterial (e.g. C peffrjngens,
Acute Diarrhea - Differential ... Diagnostic Algorithm ... E. coli, C difficile ... Acute #Diarrhea #Differential ... #Diagnosis #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Severe Ulcerative Colitis ... - Management Algorithm ... Diff. & CMV COVID ... Optimize Nutrition • CNI ... Relapsing #Ulcerative #Colitis
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
infection (CMV, C. diff ... Salmonella • Colon: C. difficile ... SCAD ( segmental colitis ... , Drug induced colitis ... mimics #mimickers #differential
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders - Differential ... Diagnosis Algorithm ... Aseptic, within 1 ... Disease, Ulcerative Colitis ... #Diagnosis #Algorithm
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... Workup Step #1 ... Hypernatremia #Management #Algorithm ... nephrology #insipidus #DI
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Acute Diarrhea - Differential ... Diagnosis Framework 1) ... Invasive: Clostridium difficile ... Acute #Diarrhea #Differential ... NonInfectious #Algorithm
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
BMP, cap, CBC w/ diff ... Atheroemboli — 1% ... Nephrology #Diagnosis #Algorithm ... #Causes #Differential
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Microbiologic-Testing: 1. ... C. difficile PCR ... Workup #Management #Algorithm ... Transplant #diagnosis #differential