11 results
Functional GI Disorders in IBD - IBD Algorithm

Background:
 • 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... • Strong correlation ... Gastrointestinal #Disorders #IBS ... IBD #Algorithm #
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 • Refractory
 • Failed multiple
(DTT) in IBD - ... IBD Algorithm ... Indication for DTT ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... @wabillin #IBD ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... fatigue after correction
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD ... IBD Patient on ... Disease → Optimize Therapy ... Remission > 12mo - Indication ... #Deescalation #IBD
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... loss • If anemia is ... papillae of tongue), abd ... diarrhea related to IBD ... need more rapid correction
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Adjust IS medications ... PTLD, GVHD or IBD ... Empiric therapy ... Workup #Management #Algorithm
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Renal Replacement Therapy ... Pager Summary Indications ... in the ICU: • IHD ... fluid removal and correction ... #Replacement #Therapy
IDSA Acceptable Indications for Indwelling Urinary Catheter Use
 • Clinically significant urinary retention - Temporary relief
IDSA Acceptable Indications ... drainage if medical therapy ... is not effective ... and surgical correction ... #Indications #Indwelling