11 results
Pre-Op Nutrition in IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PreOp #Preoperative #Nutrition #IBDAlgorithm #IBD #Algorithm #gastroenterology
Pre-Op Nutrition ... in IBD - IBD Algorithm ... @wabillin #PreOp ... Preoperative #Nutrition #IBDAlgorithm ... #IBD #Algorithm
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... fistula • ↑ risk ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Venous Thromboembolism (VTE) in IBD - IBD Algorithm

 • 2-3x risk VTE vs non-IBD
 • VTE/AT
- IBD Algorithm ... • 2-3x risk ... • VTE/AT risk ∝ ... Thromboembolism #VTE #IBDAlgorithm ... #IBD #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... Preop creatinine ... Preop creatinine ... event, follow ACC algorithm ... select patients #Preop
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Mild-to-Moderate ... : diet rich in pre ... long-term dosing given risk ... UC #Management #Mild ... #treatment #IBD
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
Mild Dx - Also applies ... to mild oral aphthous ... Mouthwash • Lidocaine pre-meals ... oral manif. of IBD ... Resolve w Rx of IBD
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
HBV Reactivation Risk in IBD on Immunosuppression Algorithm
Risk of Reactivation
High Risk: >10% Risk
 • HBsAg+ /
in IBD on Immunosuppression ... Algorithm Risk ... after d/c PPx Algorithm ... #IBD #Immunosuppression ... #Algorithm #diagnosis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
MUCORMYCOSIS • Risk ... Encapsulated yeast • At risk ... antigen • India ink prep ... that exists as a mold
Ultrasound Guided Brachial Plexus Nerve Block on POCUS
Mid-shaft humerus fracture, 10/10 pain, 350mcg fentanyl and no
Nerve Block on POCUS ... Mid-shaft humerus ... block in this high risk ... good neuro exam pre ... BrachialPlexus #NerveBlock #POCUS