186 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
Chronic Diarrhea Differential Diagnosis
 • Inflammatory, Infectious: Recurrent C. diff, Giardiasis
 • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea Differential ... : Recurrent C. diff ... Non-infectious: IBD ... • Dysmotility: IBS ... Diarrhea #Chronic #Differential
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 • IBS
 • Fibrostenotic
IBD - Assessment ... Response (sLOR) - Differential ... mechanisms, Non-IBD ... Inflammatory mechanisms, IBD-related ... @JeanDonet #IBD
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Lung Diseases (ILD ... Exposure-Related ILD ... ILD caused by inhalation ... Methotrexate ILD ... #diagnosis #differential
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... infection (CMV, C. diff ... inflammation: IBS ... lymphomas, others) #IBD ... mimics #mimickers #differential
ID Ddx: Diarrhea in a transplant recipient
- Bacterial: C.diff, Campy, Salmonella, Aeromonas, E.coli
- Viral: CMV, noro,
ID Ddx: Diarrhea ... recipient - Bacterial: C.diff ... Entamoeba - Non-ID ... febrilepodcast.com] #ID ... #Infections #Differential
ILD of Known Cause - Differential Diagnosis
Exposure:
 • Occupational: Asbestosis, Silicosis, Hypersensitivity, Pneumonitis
 • Treatment Related:
ILD of Known Cause ... - Differential ... BrighamChiefs #ILD ... #Causes #Differential
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
C.diff - Clostridioides ... ± blood/mucus, Abd ... pain, Fever, ↑WBC ... immunocompromised, IBD ... ciab549 #CDI #Cdiff
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Differential Diagnosis ... Continuous Fever ... • Hyper-IgD syndrome ... #Patterns #Differential
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... Receptor (sTfR) to differentiate ... fatigue w/ active IBD