11 results
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
, Esophagitis, Cancer ... Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... Lower #GIBleed #differential
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... , Drug induced colitis ... bowel syndrome), Cancer ... lymphomas, others) #IBD ... mimics #mimickers #differential
Chronic Diarrhea - Differential Diagnosis Algorithm
Steatorrhea
 - Maldigestive
    • Pancreatic Insufficiency
 - Primary
Chronic Diarrhea - Differential ... • Ischemic Colitis ... Adenoma • Colon Cancer ... • Microscopic Colitis ... albumin, ESR, endoscopy
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Hyperamylasemia)- Differential ... - Pancreatic cancer ... sulindac - Active IBID ... disease, ulcerative colitis ... Hyperamylasemia #Differential
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
The 6 C’s of Primary ... have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... without PSC • CANCER
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Cryptosporidium EIA ... *Especially if concern ... PTLD, GVHD or IBD ... Transplant #diagnosis #differential
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Gastronintestinal Bleed - Differential ... • Colorectal cancer ... , asymptomatic IBD ... bleed, • Acute colitis ... Gastronintestinal #Differential
Crohn's Disease & New Diagnosis of Colon Cancer Algorithm
 - Define Colonic Disease Extent, Activity &
Diagnosis of Colon Cancer ... Activity (MR Pelvis ± EUA ... Metachronous Dysplasia/Cancer ... Disease #Colon #Cancer ... management #treatment #ibd
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 • Homogeneous pattern: 
   -
phenomenon, SjS, cancer ... - SLE, SjS, CTD-ILD ... Cytoplasmic #Patterns #differential
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Pleural/pericardial/abd ... involve PNS and CNS ... leukemia • Lung cancer ... • Cervical cancer