8 results
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Acute Diarrhea (>3 BM ... immunocompromised, IBD) • ↑Risk ... Lowest Risk: Tetracyclines ... Treatment Guideline ... infectiousdiseases #IDSA #gastroenterology
Natural history
Aneurysms may progress in size as a result of gradual wall weakening [6], with rupture
increases when AAA ... Annual rupture risk ... Guidelines for the treatment ... of abdominal aortic ... #Management #AAA
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
fistula • ↑ risk ... if colonic CD ... has carcinoma risk ... IBD #Algorithm #gastroenterology ... #management #treatment
Aortic Dissection - Diagnosis and Management Summary
 • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... stroke-like symptoms • Risk ... includes ascending aorta ... - MH/CCF/CWRU EM ... Management #summary #treatment
Perioperative IBD Pharmacotherapy Management 
Immunomodulators:
 • Stop MTX one week prior to elective surgery
 • Stop
surgery • Stop AZA ... • Resume in CD ... patients at high risk ... stress dose Gastroenterology ... #preoperative #gastroenterology
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Appendectomy may decrease risk ... disease ~= Increased risk ... and PR + PO 5-ASA ... rectal prolapse, CD ... , cancer Treatment
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... without increased risk ... varices #management #ebm ... #evidence #gastroenterology
Thiopurines in IBD
Indications:
 • Steroid-sparing agents indicated for maintenance of remission in UC and CD
 •
remission in UC and CD ... normal activity: AZA ... EBV seroconversion ... adults already EBV ... BowelDisease #Management #Treatment