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ibd management diagnosis treatment ulcerative differential 5asa abdominal bowel checkpointinhibitor disease gastroenterology inflammatroy kub mild mimickers mimics moderate persistent radiology
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
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis: • inflammatory bowel disease: UC and CD
bowel disease: UC ... and CD • infection ... pseudomembranous colitis ... • typhlitis #Colon
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative Colitis ... Budesonide and UC ... delivery to the colon ... #Ulcerative #Colitis ... #UC #Management
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
infection (CMV, C. diff ... Salmonella • Colon ... Behcet's disease • Colon ... (NSAIDS, immuno-therapy ... ), Ischemic colitis
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
Immune Checkpoint ... Inhibitor-Mediated Colitis ... Diff, Stool cx, ... Endoscopy (Flex Sig or Colon ... diagnosis #management #algorithm
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