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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:
Pseudomembranous colitis ... → Fulminant Colitis ... Epidemiology: • #1 ... 10 mg/kg IV x 1 ... #Cdiff #Clostridioides
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
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... Radiation CMC IM ... diagnosis #Causes #algorithm
A good approach when dealing with hypotension at the bedside includes using the following systematic four
individual component: 1. ... Diagnosis #Management #EM ... #IM #PCC #Hypotensive ... Hypotension #Approach #Algorithm
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Hyponatremia: 1) ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Differential #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
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Proctitis: • Affects 1/ ... Infection (CMV, c-Diff ... rectal prolapse, CD ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
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
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
Rate (Cockcroft) CI ... Equation NUTRITION IBW ... 110-220 Ib Ideal ... Bumetanide: IV or IM ... x4 q15-30min) *IM