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

Clinical Presentation + Progression:
Diagnosis and Management ... 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 ... #UC #Persistent ... Refractory #Treatment #Management ... #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 ... #Algorithm #IBD
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 ... #management
A proposed management algorithm for CDI in patients with inflammatory bowel disease. *Severe-complicated CDI is defined
A proposed management ... algorithm for CDI ... #CDI #CDiff #clostridiumdifficile ... #IBD #Algorithm ... Gastroenterology #Management
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
Diagnosis and Management ... facial paralysis *Differential ... oral manif. of IBD ... Resolve w Rx of IBD ... Granulomatosis #Diagnosis #Management
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... Diff, Stool cx, ... CheckpointInhibitor #Colitis ... #diagnosis #management ... #algorithm #IBD
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Infection (CMV, c-Diff ... rectal prolapse, CD ... Ulcerative #Proctitis #IBD ... #diagnosis #management ... #algorithm
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
: pneumonitis, colitis ... Leishmaniasis Differential ... treatment • Persistently ... Inflammatory #Syndrome #Differential ... #Diagnosis #Management