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management diagnosis ibd treatment ulcerative 5asa clostridioides clostridium difficile fatigue gastroenterology infection infectiousdiseases persistent proctitis refractory relapsing
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
Pseudomembranous colitis ... → Fulminant Colitis ... 10 mg/kg IV x 1 ... IDSA 2021 CDI ... #Cdiff #Clostridioides
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Persistent UC Symptoms ... Rule-Out Infection, Cdiff ... Mild Colitis • ... JAK Inhibitor Algorithm ... Treatment #Management #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Severe Ulcerative Colitis ... Diff. & CMV COVID ... surgery: Fulminant UC ... Optimize Nutrition • CNI ... #UC #Management
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD Algorithm ... Prevalence Crohn's > UC ... IBD Pearls: • IDA ... differentiate IDA ... disease control • 1/
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
Proctitis: • Affects 1/ ... Consider: 1. ... Infection (CMV, c-Diff ... rectal prolapse, CD ... diagnosis #management #algorithm
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