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management diagnosis algorithm gastroenterology differential uc ulcerative cancer causes guidelines surveillance colon deficiency disease endocrinology hematology infection oncology screening syndrome
IBD Colonoscopy Surveillance - BSG Guidelines 2019 High Risk - 1 Year • Extensive colitis AND
IBD Colonoscopy ... relative with CRC ... relative with CRC ... @drkeithsiau #IBD ... #Colonoscopy #Surveillance
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
diarrhea) • FCP, CRP ... , Colonoscopy • ... Escalate Treatment ... Mod/Severe Colitis ... Escalate Treatment
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations Cholangiocarcinoma - Annual US or
months +/- AFP CRC ... - IBD - Colonoscopy ... Annual surveillance colonoscopy
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... , Radiation CMC
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Severe Ulcerative Colitis ... Flex Sig, FCP, CRP ... up • Surgery ≠ Treatment ... Management #Algorithm #IBD ... #Treatment
IBD Colonoscopy Surveillance LOW RISK - Follow-up Colonoscopy at 3 years: • Quiescent disease , Endoscopic
IBD Colonoscopy ... risk factors for CRC ... Risk factors for CRC ... years OR • FHx of CRC ... degree relative #IBD
What is the difference between ischemic colitis and mesenteric ischemia? A common misnomer. Mesenteric ischemia and ischemic
between ischemic colitis ... ischemia and ischemic colitis ... scripts and initial treatment ... Sudden onset • Abd ... surgery Ischemic colitis
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
Pseudomembranous colitis ... → Fulminant Colitis ... immunocompromised, IBD ... despite appropriate treatment ... IDSA 2021 CDI Treatment
Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease •
unresponsive to treatment ... Addisons, microscopic colitis ... Inflammatory (IBD
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
Artifact (redo CBC ... Inflammatory: • IBD ... effect following treatment
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