15 results
C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Difficile Infection ... Complications CDI Testing ... Algorithm CDI ... Clostridioides #difficile ... #Management #Treatment
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Private practice setting ... 1) Redundant Colon ... failed/redundant colons ... Endoscopy #diagnosis #management ... #algorithm
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
Performance Characteristics ... lesions or SSLs • Colon ... Colorectal #Cancer #colon ... comparison #table #management ... #Testing
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
Family History Performance ... lesions or SSLs • Colon ... Colorectal #Cancer #colon ... comparison #table #management ... #Testing #Indications
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... criteria - ED testing ... examination, basic (CBC ... AlteredMentalStatus #Delirium #Management ... #Algorithm
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Tract - Genetic testing ... Juvenile Polyps + CRC ... 95%, throughout colon ... Likely risk of CRC ... Syndromes #diagnosis #management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... C. difficile PCR ... Diarrhea #Workup #Management ... #Algorithm #Transplant
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Ulcerative Colitis - Management ... Algorithm Curcumin ... delivery to the colon ... formulations • Difficult ... #Colitis #UC #Management
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Algorithm for the ... C difficile assay ... Ova and parasite testing ... Acute #Diarrhea #management ... #algorithm #workup
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Ulcerative Colitis - Management ... Algorithm Loss ... Flex Sig, FCP, CRP ... Multidisciplinary Meeting ... #Colitis #UC #Management