2020 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
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
C.diff - Clostridioides ... GrepMed Handbook Clinical ... ± blood/mucus, Abd ... immunocompromised, IBD ... ciab549 #CDI #Cdiff
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
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 ... Choledocholithiasis #POCUS ... #clinical #ultrasound
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 ... CommonBileDuct #clinical ... #ultrasound #pocus
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... fatigue despite clinical ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with fever/abd ... POCUS for win. ... SBP #Abdominal #POCUS ... #clinical #ultrasound
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
IUD and Pregnancy on Pelvic Ultrasound
Early gestational sac seen on trans-abdominal, transverse view.  However, is
IUD and Pregnancy ... henneberry_ryan #IUD ... Pelvic #Ultrasound #POCUS ... #clinical #obstetrics