It's easy to mistake other serious gastrointestinal problems for inflammatory bowel disease. Here: clinical pearls that can help you recognize the IBD mimics.
The 9-year-old was admitted after 1 day of symptoms; he had no fever, diarrhea, constipation, dysuria, or rash. More details, here. What's your diagnosis?
Some 30% of cases of acute appendicitis in children are associated with appendicolith.
A medication change? Repeat colonoscopy with chromoendoscopy? Colectomy? Other?
A 46-year-old woman with a long standing history of ulcerative colitis undergoes surveillance colonoscopy. She is managed with oral mesalamine. During the procedure, she is noted to have mild pan colitis. One flat 10-mm polyp is seen.
Recurrent C difficile requires pulse vancomycin therapy; fecal microbiota transplant shows promise.
The goals of therapy for patients with inflammatory bowel disorder include inducing and maintaining a steroid-free remission, preventing and treating the complications of the disease, minimizing treatment toxicity, achieving mucosal healing, and enhancing quality of life.
(AUDIO) There are disparities in the sensitivities and specificities of glucose and lactose hydrogen breath tests used to diagnose small intestine bacterial overgrowth and to distinguish patients with irritable bowel syndrome from healthy individuals. Just how useful are these tests? Insights from an expert here.
(AUDIO) Here, Christina Surawicz, MD, describes an organized approach to the evaluation and management of patients with chronic diarrhea.