12 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Assess Disease Activity ... +/- EGD, Small Bowel ... FCP, CRP, ESR • Active ... algorithm #management #gastroenterology ... #indications
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... , Drug induced colitis ... (irritable bowel ... #inflammatroy #bowel ... differential #diagnosis #gastroenterology
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel ... Secretagogues → activate ... TinaPhamHang via Emory Gastroenterology ... #Irritable #Bowel ... Syndrome #Management #gastroenterology
Ulcerative Colitis - Endoscopic Assessment of Disease Activity
UCEIS Score 0, Mayo Score 0 - Normal
UCEIS Score
Ulcerative Colitis ... Assessment of Disease Activity ... #Ulcerative #Colitis ... severity #diagnosis #gastroenterology ... UCEIS #scoring #ibd
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
• Microscopic colitis ... • Irritable bowel ... • Inflammatory bowel ... disease (IBD): ... Ulcerative colitis
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel ... Secretagogues → activate ... TinaPhamHang via Emory Gastroenterology ... #Irritable #Bowel ... Diagnosis #Management #gastroenterology
Ulcerative Colitis Activity Index

Remission - Mild - Moderate - Severe - Fulminant
Stools/day
Urgency
Hemoglobin
ESR
CRP
Fecal Calprotectin
Endoscopy (Mayo subscore)
UCEIS

@MondayNightIBD

#Ulcerative #Colitis
Ulcerative Colitis ... Activity Index ... #Activity #Index ... #diagnosis #gastroenterology ... #IBD
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
Addisons, microscopic colitis ... Autoimmune • CVID • Medications ... Inflammatory (IBD ... Diagnosis #Algorithm #gastroenterology
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... with persistently active ... there are many indications ... • COLITIS - PSC-IBD ... distinct from IBD
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Pleural/pericardial/abd ... small and large bowel ... extremity edema, active ... CRP normal, ESR active ... activation and/or medications