30 results
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 ... #Ulcerative #Colitis
IBD Colonoscopy Surveillance - BSG Guidelines 2019
High Risk - 1 Year
 •  Extensive colitis AND
IBD Colonoscopy ... • Extensive colitis ... • Extensive colitis ... • Crohn's colitis ... drkeithsiau #IBD #Colonoscopy
Chronic Diarrhea - Differential Diagnosis Algorithm
Steatorrhea
 - Maldigestive
    • Pancreatic Insufficiency
 - Primary
Chronic Diarrhea ... • Radiation CoIits ... • Ischemic Colitis ... • Microscopic Colitis ... Lymphoma #Chronic #Diarrhea
Acute Diarrhea - Differential Diagnostic Algorithm
Watery/Large Volume (Small Bowel)
 • Viral
 • Bacterial (e.g. C peffrjngens,
Acute Diarrhea - ... Ileitis • Crohn's Colitis ... • Ulcerative Colitis ... • Crohn's Colitis ... #Acute #Diarrhea
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... testing negative and diarrhea ... Colonoscopy +/- ... Empiric therapy with probiotic ... malabsorption #Diarrhea
Algorithm for Diagnosis and Management of Ischemic Colitis
Severe if any of following:
 • >3 Risk Factors
Management of Ischemic Colitis ... with eventual colonoscopy ... #Ischemic #Colitis
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... intolerance suspected, Colonoscopy ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy ... / #Chronic #Diarrhea
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
between ischemic colitis ... ischemia and ischemic colitis ... surgery Ischemic colitis ... tenderness, bloody diarrhea
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Evaluation of Chronic Diarrhea ... Causes of acute diarrhea ... occult blood - Colonoscopy ... syndrome, Factitious diarrhea ... ) #Chronic #Diarrhea
Mayo UC Endoscopic Classification
 • Score = 0 (normal or inactive disease) - Normal vascular pattern
Classification #ulcerative #colitis ... gastroenterology #colonoscopy