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 ... in IBD - IBD Algorithm ... Clostridioides #difficile ... CDiff #CDifficile #IBD ... #Algorithm #Management
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
Salmonella • Colon ... : C. difficile, ... Behcet's disease • Colon ... lymphomas, others) #IBD ... mimics #mimickers #differential
Common causes of post-Transplant Diarrhea
 • Bacterial: Clostridium difficile, Campylobacter spp., Salmonella spp., Bacterial overgrowth, Aeromonus
Bacterial: Clostridium difficile ... Other: GVHD, PTLD, IBD ... , Colon Cancer, ... Diarrhea #diagnosis #differential
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Ulcerative Colitis - Management ... delivery to the colon ... formulations • Difficult ... #Colitis #UC #Management ... #treatment #IBD
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult ... 1) Redundant Colon ... failed/redundant colons ... Endoscopy #diagnosis #management ... #algorithm
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Constipation Management ... Algorithm What ... bowel movements, difficult ... defecation suggests IBS-C ... #Constipation #Management
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... modifications Algorithm ... #Algorithm #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 ... PTLD, GVHD or IBD ... #diagnosis #differential
Idiopathic Inflammatory Myopathies - 
Dermatomyositis (DM), Immune-Mediated Necrotizing Myopathy (IMNM), Antisynthetase Syndrome (ASS), Inclusion Body Myositis
Body Myositis (IBM ... Myopathy #Comparison #Managment ... #algorithm #Rheumatology ... #Differential
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
Diagnosis and Management ... facial paralysis *Differential ... oral manif. of IBD ... Resolve w Rx of IBD ... Granulomatosis #Diagnosis #Management