10 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
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection ... Epidemiology: • #1 ... immunocompromised, IBD ... 10 mg/kg IV x 1 ... 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 ... intestine: Behcet's disease ... mimics #mimickers #differential
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... C. difficile PCR ... PTLD, GVHD or IBD ... #diagnosis #differential
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Acute Diarrhea - Differential ... Diagnosis Framework 1) ... dysentery, severe disease ... Invasive: Clostridium difficile ... NonInfectious #Algorithm
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... fatigue despite disease ... control • 1/3 ... #management
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Ulcerative Colitis - Management ... dosing if liver disease ... formulations • Difficult ... #Colitis #UC #Management ... #treatment #IBD
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
extension: - Disease ... extension • Isolated disease ... Infection (CMV, c-Diff ... #diagnosis #management ... #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
any mention of a difficult ... Ischemic heart disease ... event, follow ACC algorithm ... : - Known CV disease ... medical and surgical management
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
Management of Pruritus ... primary lesions - differential ... General Measures 1. ... • Pramoxine 1% ... Pruritus #Treatment #Algorithm