16 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
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 ... *Especially if concern ... #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
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
Performance Characteristics ... for Colorectal Cancer ... #colon #Screening ... comparison #table #management ... gastroenterology #CRC #Testing
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - Management ... Algorithm Suspected ... Melena + right colon ... Polypectomy, Colorectal cancer ... LGIB #GIBleed #management
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 ... #colon #Screening ... comparison #table #management ... gastroenterology #CRC #Testing
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
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Hamartomas + GI Cancer ... Tract - Genetic testing ... → Adenoma and cancer ... 95%, throughout colon ... Syndromes #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
any mention of a difficult ... Performance thorough ... event, follow ACC algorithm ... surgery Stress Testing ... medical and surgical management