11 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:
Difficile Infection (CDI ... Epidemiology: • #1 ... 10 mg/kg IV x 1 ... - consider if 2 ... IDSA 2021 CDI
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Algorithm • ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
A proposed management algorithm for CDI in patients with inflammatory bowel disease. *Severe-complicated CDI is defined
algorithm for CDI ... Severe-complicated CDI ... uncomplicated CDI ... #CDI #CDiff #clostridiumdifficile ... #IBD #Algorithm
Asymptomatic Ileitis - IBD Algorithm

 • Found on 0.1-21% of non-diagnostic colonoscopies
 • Low likelihood of
of representing CD ... progresses to CD ... Asymptomatic #Ileitis #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Perioperative IBD Pharmacotherapy Management 
Immunomodulators:
 • Stop MTX one week prior to elective surgery
 • Stop
Perioperative IBD ... Pharmacotherapy Management ... resume post op day 1 ... • Resume in CD ... of recurrence 2-
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
therapy 2. ... Infection (CMV, c-Diff ... rectal prolapse, CD ... #diagnosis #management ... #algorithm
Neurosyphilis - Treponema pallidum - Diagnosis Algorithm
Lumbar Puncture Indications:
 • Neuro / Ocular symptoms
 • HIV
pallidum - Diagnosis Algorithm ... • HIV (esp low CD4 ... Syphilis LP Triad: 1) ... Reactive VDRL 2) ... Lumbar #puncture #management
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
3 mechanisms 1. ... ↓ diversity) 2. ... of diet therapy CD ... NG tube); • CD-TREAT ... comparison #table #management
Thiopurines in IBD
Indications:
 • Steroid-sparing agents indicated for maintenance of remission in UC and CD
 •
Thiopurines in IBD ... remission in UC and CD ... 3mg/kg and MP 1- ... Monitor CBC q 1- ... #BowelDisease #Management