12 results
C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Complications CDI ... Testing Algorithm CDI ... Clostridioides #difficile #CDiff ... #Algorithm #Management ... #Treatment #Gastroenterology
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection (CDI ... Perforation) Pathophysiology ... immunocompromised, IBD ... /ciab549 #CDI ... infectiousdiseases #IDSA #gastroenterology
A proposed management algorithm for CDI in patients with inflammatory bowel disease. *Severe-complicated CDI is defined
algorithm for CDI ... Severe-complicated CDI ... uncomplicated CDI ... #CDI #CDiff #clostridiumdifficile ... #IBD #Algorithm
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
infection (CMV, C. diff ... Salmonella • Colon ... bowel syndrome), Cancer ... #differential #diagnosis ... #gastroenterology
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
months +/- AFP CRC ... - IBD - Colonoscopy ... PSC #Malignancy #Cancer ... #Surveillance #Gastroenterology ... #Management #Diagnosis
Asymptomatic Ileitis - IBD Algorithm

 • Found on 0.1-21% of non-diagnostic colonoscopies
 • Low likelihood of
0.1-21% of non-diagnostic ... of representing CD ... progresses to CD ... #Algorithm #gastroenterology ... #management
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Hamartomas + GI Cancer ... → Adenoma and cancer ... 95%, throughout colon ... Polyposis #Syndromes #diagnosis ... #management #gastroenterology
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Lymphohistiocytosis (HLH) Pathophysiology ... →Activation of CD8 ... Auto-amplification loop Diagnosis ... B-LNH), solid cancers ... #management #treatment
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Infection (CMV, c-Diff ... rectal prolapse, CD ... , cancer Treatment ... Ulcerative #Proctitis #IBD ... #diagnosis #management
Crohn's Disease & New Diagnosis of Colon Cancer Algorithm
 - Define Colonic Disease Extent, Activity &
Disease & New Diagnosis ... of Colon Cancer ... 39% of pts with CRC ... #management #treatment ... #ibd