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C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
- IBD Algorithm ... Complications CDI ... Testing Algorithm ... CDI Recurrence ... Clostridioides #difficile #CDiff
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
C.diff - Clostridioides ... Pseudomembranous colitis ... → Fulminant Colitis ... immunocompromised, IBD ... #Cdiff #Clostridioides
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... infection (CMV, C. diff ... , Drug induced colitis ... (NSAIDS, immuno-therapy ... ), Ischemic colitis
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 ... diagnosis #Causes #algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Severe Ulcerative Colitis ... - Management Algorithm ... Diff. & CMV COVID ... Relapsing #Ulcerative #Colitis ... #IBD #Treatment
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Immune Checkpoint ... Inhibitor-Mediated Colitis ... Diff, Stool cx, ... diagnosis #management #algorithm ... #IBD
A proposed management algorithm for CDI in patients with inflammatory bowel disease. *Severe-complicated CDI is defined
proposed management algorithm ... for CDI in patients ... uncomplicated CDI ... #CDI #CDiff #clostridiumdifficile ... #IBD #Algorithm
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... Infection: Salmonella, Parasites ... Cryptococcus, CMV, C. diff ... Coeliac, Radiation, Immune ... Eosinophilic, CVID, Hyper IgD
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
Infection (CMV, c-Diff ... Alternative Dx: IBS ... rectal prolapse, CD ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm