9 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
IBD Colonoscopy Surveillance - BSG Guidelines 2019
High Risk - 1 Year
 •  Extensive colitis AND
IBD Colonoscopy ... AND any of: • Mild ... affecting <50% of colon ... @drkeithsiau #IBD ... #Colonoscopy #Surveillance
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
infection (CMV, C. diff ... Salmonella • Colon ... : C. difficile, ... Behcet's disease • Colon ... lymphomas, others) #IBD
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult ... Colonoscopy - Scoping ... 1) Redundant Colon ... 2) Difficult ... diagnosis #management #algorithm
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
) • FCP, CRP, Colonoscopy ... Rule-Out Infection, Cdiff ... Mild Colitis • ... JAK Inhibitor Algorithm ... Treatment #Management #Algorithm
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Mild-to-Moderate ... delivery to the colon ... formulations • Difficult ... UC #Management #Mild ... #treatment #IBD
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... C. difficile PCR ... Colonoscopy +/- ... PTLD, GVHD or IBD ... Workup #Management #Algorithm
Colon Ischemia - Diagnosis Algorithm
Mild disease - Typical symptoms of Cl with none of the associated
Colon Ischemia - ... Diagnosis Algorithm ... Mild disease - ... on imaging by colonoscopy ... or CT #Colon
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
over baseline; mild ... Diff, Stool cx, ... Endoscopy (Flex Sig or Colon ... diagnosis #management #algorithm ... #IBD