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diagnosis management differential 5asa algorithm b12 cobalamin comparison copper diets ibd inflammatory pathophysiology persistent refeeding refractory syndrome table uc ulcerative
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Assessment (bloody diarrhea ... UC > non-bloody diarrhea ... ) • FCP, CRP, Colonoscopy ... CAMs (curcumin, probiotic ... Escalate Treatment
Causes of Copper Deficiency - Differential Diagnosis Hereditary: - Menkes disease, familial hypoceruloplasminemia Decreased / Inadequate Intake:
Causes of Copper ... Deficiency - Differential ... disease, ulcerative colitis ... gastrectomy, prolonged diarrhea ... Parenteral or enteral nutrition
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... Hypo-Mg2+ • Vitamin deficiency ... Palpitations • Diarrhea ... • Vitamin D deficiency ... hyperparathyroidism Treatment
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... • Common Causes ... tongue), abd pain, diarrhea ... Check for IF ab Treatment ... diagnosis #management #nutrition
Diets and Inflammatory Bowel Disease (IBD) Diet affects IBD by 3 mechanisms 1. Microbiome ( ↓ diversity) 2. Mucosal
Key Points • Nutrition ... prebiotic and probiotic ... pain, wind and diarrhea ... #Inflammatory #BowelDisease ... table #management #treatment
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