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diagnosis diarrhea gastroenterology transplant bowel causes disease inflammatroy intestinal management mimickers mimics pocus ultrasound workup
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
) in IBD - IBD Algorithm ... IUS Pros (+) ... good for SB and colon ... #IBD #Algorithm ... #IBDAlgorithm #
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
Salmonella • Colon ... : C. difficile, ... Behcet's disease • Colon ... inflammation: IBS ... mimics #mimickers #differential
Common causes of post-Transplant Diarrhea • Bacterial: Clostridium difficile, Campylobacter spp., Salmonella spp., Bacterial overgrowth, Aeromonus
Bacterial: Clostridium difficile ... Entameoba • IS ... Other: GVHD, PTLD, IBD ... , Colon Cancer, ... Diarrhea #diagnosis #differential
Diarrhea Workup and Management Algorithm in Transplant Patients First Tier Microbiologic-Testing: 1. C. difficile PCR (Stool) 2. CMV qPCR
C. difficile PCR ... Adjust IS medications ... Colonoscopy +/- ... PTLD, GVHD or IBD ... Transplant #diagnosis #differential
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