14 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 ... #CDiff #CDifficile
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Microbiologic-Testing ... C. difficile PCR ... Workup #Management #Algorithm ... Transplant #diagnosis #differential
Common causes of post-Transplant Diarrhea
 • Bacterial: Clostridium difficile, Campylobacter spp., Salmonella spp., Bacterial overgrowth, Aeromonus
Bacterial: Clostridium difficile ... GVHD, PTLD, IBD, Colon ... Diarrhea #diagnosis #differential
Acute Diarrhea - Differential Diagnostic Algorithm
Watery/Large Volume (Small Bowel)
 • Viral
 • Bacterial (e.g. C peffrjngens,
Acute Diarrhea - Differential ... Diagnostic Algorithm ... E. coli, C difficile ... Acute #Diarrhea #Differential ... #Diagnosis #Algorithm
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult ... Private practice setting ... 1) Redundant Colon ... failed/redundant colons ... diagnosis #management #algorithm
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Acute Diarrhea - Differential ... Invasive: Clostridium difficile ... Acute #Diarrhea #Differential ... NonInfectious #Algorithm
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Algorithm for the ... C difficile assay ... Ova and parasite testing ... Diarrhea #management #algorithm
Infectious Diarrhea - Laboratory Testing

Clostridium difficile
Salmonella enterica, Shigella spp, Campylobacter spp 
Salmonella enterica serovars Typhi and
Diarrhea - Laboratory Testing ... Clostridium difficile ... Diarrhea #diagnosis #differential ... #Laboratory #Testing
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
Salmonella • Colon ... : C. difficile, ... Behcet's disease • Colon ... mimics #mimickers #differential
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Difficult to diagnosis ... separate D-lactate testing ... sugars in the colon ... Lactic #Acidosis #Differential