12 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
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
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Rule-Out Infection, Cdiff ... JAK Inhibitor Algorithm ... Waseem_AhmedMD #Ulcerative ... #5ASA #Refractory ... Treatment #Management #Algorithm
Acute Diarrhea - Differential Diagnostic Algorithm
Watery/Large Volume (Small Bowel)
 • Viral
 • Bacterial (e.g. C peffrjngens,
Differential Diagnostic Algorithm ... E. coli, C difficile ... Bloody • Ulcerative ... Colitis #Acute ... Differential #Diagnosis #Algorithm
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 ... SCAD ( segmental colitis ... , Drug induced colitis
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection ... Pseudomembranous colitis ... → Fulminant Colitis ... 10 mg/kg IV x 1 ... Clostridioides #Difficile
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
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... obstruction - Drugs: 5-ASA ... sulindac - Active IBID ... celiac disease, ulcerative ... colitis, rheumatoid
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Ulcerative Proctitis ... and PR + PO 5-ASA ... Infection (CMV, c-Diff ... #Proctitis #IBD ... diagnosis #management #algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Microbiologic-Testing: 1. ... C. difficile PCR ... PTLD, GVHD or IBD ... Workup #Management #Algorithm