2015 results
Colitis - Differential Diagnosis by Segment Location

Ascending Colon:
 - Shigella
 - Salmonella
 - Amebic colitis
Hepatic flexure:
Ischemia (Watershed) Cecum ... Yersinia - TB Recto-Sigmoid ... Lymphoma - E Coli Rectum
Ulcerative Colitis vs Crohn's Disease - IBD Comparison Table
Ulcerative Collitis
 - Location
Crohn's Disease - IBD ... Always affects rectum ... sparing of the rectum ... Crohns #Disease #IBD
Mesalamine (Mesalazine) Therapy Simplified by Location
Orals - Terminal Ileum, Ascending Colon, Transverse Colon
Enemas - Reach the
Suppositories - Rectum ... Mesalamine #Mesalazine #IBD
Ulcerative Colitis - Surgical Options
 • Proctocolectomy - Ileostomy: ileum is attached to an external bag
after colon & rectum ... gastroenterology #IBD
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 • IBS
 • Fibrostenotic
IBD - Assessment ... mechanisms: • IBS ... mechanisms, Non-IBD ... Inflammatory mechanisms, IBD-related ... @JeanDonet #IBD
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
- Colonic and Rectal ... Angiodysplasia, Colonic or rectal ... Ischemic Colitis - IBD
IBS-D Pharmacotherapy

Loperamide
Rifaximin
Eluxadoline
Alosetron
Antispasmodics
Tricyclic antidepressants
SSRIs

#IBSD #IBS #Diarrhea #Irritable #Bowel #Syndrome #pharmacology #table #comparison #management #treatment
IBS-D Pharmacotherapy ... antidepressants SSRIs #IBSD ... #IBS #Diarrhea
Suggested algorithm for treating irritable bowel syndrome-diarrheal type (IBS-D) 

#IBSD #diarrhea #Algorithm #irritable #bowel #syndrome #management
syndrome-diarrheal type (IBS-D ... ) #IBSD #diarrhea
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... SROS (solitary rectal ... inflammation: IBS ... lymphomas, others) #IBD
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Bowel Syndrome (IBS ... Management Global IBS ... psychotherapies IBS-D ... Alosetron 0.5-1 mg BID ... tegaserod 6mg BID