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management treatment diagnosis differential gastroenterology uc clostridioides idsa 1 acute amylase bowel cdi clostridium clostridiumdifficile diarrhea disease elevated hyperamylasemia infection
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
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
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
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 ... , Drug induced colitis ... lymphomas, others) #IBD
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
Difficile Infection ... Pseudomembranous colitis ... → Fulminant Colitis ... immunocompromised, IBD ... 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
Potential Treatment Agents for Treatment of the Primary Clostridium difficile infection Episode Proven efficacy: • Vancomycin -
Primary Clostridium difficile ... Fidaxomicin - 200 mg PO bid ... 50 mg IV every bid ... × 10 days #CDiff ... pharmacology #idsa #table
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
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