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management diagnosis ibd treatment ulcerative 5asa clostridioides clostridium differential difficile fatigue gastroenterology idsa immune infection infectiousdiseases inflammatory iris proctitis reconstitution
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 ... surgery: Fulminant UC ... Optimize Nutrition • CNI ... #UC #Management
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
Pseudomembranous colitis ... → Fulminant Colitis ... Epidemiology: • #1 ... 10 mg/kg IV x 1 ... #Cdiff #Clostridioides
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD Algorithm ... Prevalence Crohn's > UC ... formulations • If persistent ... • 2/3 endorse persistent ... disease control • 1/
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
within the first 1 ... ART ↑ improves CD4 ... decrease in HIV-1 ... : pneumonitis, colitis ... treatment • Persistently
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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