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management diagnosis gastroenterology treatment ulcerative differential uc bowel causes checkpointinhibitor cholangitis coronavirus covid19 crohns dtt dual gastronintestinal guide hepatology immune
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... refractory to medical therapy ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... infection (CMV, C. diff ... intestine: Behcet's disease ... NSAIDS, immuno-therapy ... inflammatroy #bowel #disease
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm Indication for DTT: • Refractory • Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Severe/Extensive Disease ... #IBDAlgorithm # ... IBD #Algorithm #
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Severe Ulcerative Colitis ... Adherence • Assess Disease ... Diff. & CMV COVID ... Relapsing #Ulcerative #Colitis ... #IBD #Treatment
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative Colitis ... placebo • Potential GI ... dosing if liver disease ... combination PO/PR 5-ASA therapy ... #treatment #IBD
The 6 C’s of Primary Sclerosing Cholangitis (PSC) PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... Therapy with UDCA ... clinical trial evaluation
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
Grade of Disease ... indicated Diagnostic Evaluation ... -4 • Consult GI ... diagnosis #management #algorithm ... #IBD
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... rhinorrhea) <20% • GI ... associated w severe disease ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... , asymptomatic IBD ... OUT BRISK Upper GI ... bleed, • Acute colitis ... Inflammatory Bowel Disease
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
extension: - Disease ... CA • Topical therapy ... Infection (CMV, c-Diff ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
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