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diagnosis management gastroenterology hematology algorithm syndrome uc ulcerative differential rheumatology activetb causes endoscopic latenttb tb tuberculosis 1 abscess achalasia activation
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Drug Adherence • Disease ... ) • FCP, CRP, Colonoscopy ... CAMs (curcumin, probiotic ... Escalate Treatment ... Mod/Severe Colitis
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative Colitis ... maintenance rates with 5ASA ... Nissle • VSL#3: ↑ clinical ... dosing if liver disease ... Moderate #Algorithm #treatment
Mayo UC Endoscopic Classification • Score = 0 (normal or inactive disease) - Normal vascular pattern
normal or inactive disease ... Score = 1 (mild disease ... - Spontaneous bleeding ... Classification #ulcerative #colitis ... gastroenterology #colonoscopy
Ischemic Colitis on Colonoscopy 35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... on Colonoscopy ... 35yo male, PR bleeding ... with Ischemic Colitis ... gastroenterology #clinical
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 Von Willebrand Disease - Most common inherited bleeding disorder Clinical • Easy bruising •
Von Willebrand Disease ... common inherited bleeding ... disorder Clinical ... factor VIII) Treatment ... VonWillebrand #Disease
Endoscopic Findings in Active Ulcerative Colitis • Ulcer with spontaneous bleeding • Erythema • Mucosal scar
Active Ulcerative Colitis ... with spontaneous bleeding ... Active #Ulcerative #Colitis ... #UC #clinical # ... gastroenterology #colonoscopy
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
association • M > F Clinical ... Behcet syndrome (Clinical ... , ulcerative colitis ... Arthritis, AS Treatment ... Glucocorticoids 5-ASA
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Findings: • Bleeding ... organ damage Clinical ... • Severe Liver Disease ... Treatment: ... diagnosis #causes #treatment
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
may cause severe clinical ... due to chronic disease ... hyperparathyroidism Treatment ... • Slow initial feeding ... initiation of feeding
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
GrepMed Handbook Clinical ... Pseudomembranous colitis ... → Fulminant Colitis ... mg PO qd - If needing ... IDSA 2021 CDI Treatment
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