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management diagnosis ibd preoperative annual aorticaneurysm bleeding boweldisease cdi cdiff clostridioides clostridium diameter difficile evaluation evidence idsa infection infectiousdiseases inflammatory
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... high risk > 1% risk ... (>5%): - Aortic ... Severe Aortic stenosis ... and undergoing AAA
Natural history Aneurysms may progress in size as a result of gradual wall weakening [6], with rupture
increases when AAA ... men [7] (Table 1) ... Table 1: Annual ... to abdominal aortic ... Guidelines for the treatment
Perioperative IBD Pharmacotherapy Management Immunomodulators: • Stop MTX one week prior to elective surgery • Stop
surgery • Stop AZA ... resume post op day 1 ... patients at high risk ... @GIreview #Perioperative ... #gastroenterology
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
Acute Diarrhea (>3 BM ... Epidemiology: • #1 ... Lowest Risk: Tetracyclines ... 10 mg/kg IV x 1 ... infectiousdiseases #IDSA #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... free survival at 1 ... without increased risk ... varices #management #ebm ... #evidence #gastroenterology
Thiopurines in IBD Indications: • Steroid-sparing agents indicated for maintenance of remission in UC and CD •
normal activity: AZA ... -3mg/kg and MP 1- ... Monitor CBC q 1- ... EBV seroconversion ... BowelDisease #Management #Treatment
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