18 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:
C.diff - Clostridioides ... Pseudomembranous colitis ... → Fulminant Colitis ... immunocompromised, IBD ... #Cdiff #Clostridioides
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Persistent UC Symptoms ... Rule-Out Infection, Cdiff ... JAK Inhibitor Algorithm ... #UC #Persistent ... Treatment #Management #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Severe Ulcerative Colitis ... Diff. & CMV COVID ... Optimize Nutrition • CNI ... Relapsing #Ulcerative #Colitis ... #IBD #Treatment
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... infection (CMV, C. diff ... , Drug induced colitis ... lymphomas, others) #IBD ... mimics #mimickers #differential
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - Differential ... Diagnosis Algorithm ... , IBO, Infectious ... LGIB #GIBleed #Differential ... #Diagnosis #Algorithm
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... formulations • If persistent ... Receptor (sTfR) to differentiate ... • 2/3 endorse persistent ... #Algorithm #diagnosis
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... Lower #GIBleed #differential ... diagnosis #Causes #algorithm
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
Disease - Diagnosis Algorithm ... Addisons, microscopic colitis ... Differential ... Inflammatory (IBD ... Disease #Diagnosis #Algorithm
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