62 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,
: Recurrent C. diff ... Non-infectious: IBD ... • Dysmotility: IBS
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... Adult male-RUQ abd ... biliary tree(can be CHD ... or CBD that is ... Syndrome #Liver #POCUS
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct (CBD ... key to finding CBD ... the PV is the CBD ... jchristianfox #CBD ... clinical #ultrasound #pocus
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... This time on pocus ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
C.diff - Clostridioides ... ± blood/mucus, Abd ... immunocompromised, IBD ... doi.org/10.1093/cid ... ciab549 #CDI #Cdiff
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
MRCP & CA 19-9 Gallbladder ... /- AFP CRC - IBD
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
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... MULTIPLE stones in CBD ... Common #BileDuct #CBD ... #ultrasound #gallbladder
Cholelithiasis and Cholecystitis on Gallbladder POCUS (Labeled)

Sagittal plane showing two gallstones, trace fluid (at around 9
Cholecystitis on Gallbladder ... POCUS (Labeled) ... Common bile duct (CBD ... Cholecystitis #Gallbladder ... #POCUS #Labeled