5 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Thiopurine Assess Disease ... Activity: Colonoscopy ... ESR • Active Disease ... #gastroenterology ... #indications
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... , celiac disease ... total body stores Evaluation
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... congenital heart disease ... #EGD #Indications ... #Gastroenterology
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Evaluation Guide ... only symptom 3-12% ... associated w severe disease ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... Change in clinical ... risk (<1%): - Endoscopic ... the type of and indication