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diagnosis algorithm causes ibd management treatment ulcerative 5asa abdominal bowel colon ddx diarrhea disease gastroenterology gibleed grubsc hospitalized ileitis infections
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Persistent UC Symptoms ... correlates w active UC ... Rule-Out Infection, Cdiff ... Mild Colitis • ... #UC #Persistent
Causes of Terminal Ileitis - Differential Diagnosis • Infectious: Yersinia spp., Salmonella spp., C.diff, Neutropenic colitis,
Terminal Ileitis - Differential ... Salmonella spp., C.diff ... , Neutropenic colitis ... Digoxin • Other: UC ... Terminal #Ileitis #Differential
Colitis - Differential Diagnosis by Segment Location Ascending Colon: - Shigella - Salmonella - Amebic colitis Hepatic flexure:
Colitis - Differential ... Salmonella - Amebic colitis ... - CMV - C Diff ... Radiation #Colitis ... Segment #Location #Differential
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Severe Ulcerative Colitis ... Diff. & CMV COVID ... surgery: Fulminant UC ... Relapsing #Ulcerative #Colitis ... #UC #Management
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis: • inflammatory bowel disease: UC and CD
Abdominal XRay - Differential ... bowel disease: UC ... pseudomembranous colitis ... Thumbprint #Sign #Differential
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... Lower #GIBleed #differential
Common Infections in a Hospitalized Patient - GRUBS-C Mnemonic G - GI (-itis): Cholecystitis, Pancreatitis, Peritonitis, Appendicitis,
Appendicitis, Colitis ... Diff R - Respiratory ... #Infections #differential
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
infection (CMV, C. diff ... SCAD ( segmental colitis ... , Drug induced colitis ... immuno-therapy), Ischemic colitis ... mimics #mimickers #differential
Diarrhea with Normal Colonoscopy • Colonic: Bile acid malabsorption, Microscopic colitis, Overflow diarrhoea, Missed pathology •
malabsorption, Microscopic colitis ... Campylobacter, C. diff ... drkeithsiau #Diarrhea #differential
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