9 results
C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Difficile Infection ... in IBD - IBD Algorithm ... Clostridioides #difficile ... #CDiff #CDifficile ... #IBD #Algorithm
Acute Diarrhea - Differential Diagnostic Algorithm
Watery/Large Volume (Small Bowel)
 • Viral
 • Bacterial (e.g. C peffrjngens,
Acute Diarrhea - ... Algorithm Watery ... E. coli, C difficile ... Bloody • Ulcerative ... #Diarrhea #Differential
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
UC > non-bloody diarrhea ... Rule-Out Infection, Cdiff ... Waseem_AhmedMD #Ulcerative ... Refractory #Treatment #Management ... #Algorithm
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection ... ABx) → Acute Diarrhea ... → Fulminant Colitis ... immunocompromised, IBD ... Clostridioides #Difficile
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... infection (CMV, C. diff ... Salmonella • Colon: C. difficile ... lymphomas, others) #IBD ... mimics #mimickers #differential
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Relapsing Acute Severe Ulcerative ... Colitis - Management ... Diff. & CMV COVID ... #Colitis #UC #Management ... #Algorithm #IBD
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative ... Colitis - Management ... formulations • Difficult ... #Colitis #UC #Management ... #treatment #IBD
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... C. difficile PCR ... PTLD, GVHD or IBD ... #Workup #Management ... #diagnosis #differential
Causes of Chronic Diarrhea
Osmotic Diarrhea
 1. Medications: antacids, lactulose, sorbitol
 2. Disaccharidase deficiency: lactose intolerance
 3.
Osmotic Diarrhea ... Ulcerative colitis ... Microscopic colitis ... Bacterial: Clostridium difficile ... #Causes #Differential