Ibdlive
@ibdlive
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#ibdlive national video teleconference with CCF UPMC UMD. advancing the management of complex IBD care
Joined October 2018
RT @ryanlouie: .@EHealthLaw, Chair of @ClearHealthQI Standards Committee, Vice President @AmericanTelemed, Partner @JonesDay. Presenting on….
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Ah yes the classic discussion @MRegueiroMD vs @arwmd !.
@ibdlive monosyllabic vs polysyllabic discussions on a great case of poorly controlled, penetrating Crohn’s. Surgery clearly the answer, but how doe we foster the best relationships with our patients?.
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RT @HolubarStefan: @IBDLive Interesting article "Rescue Diverting Loop Ileostomy: An Alternative to Emergent Colect. " @arwmd @MRegueiroM….
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Case 1: At our @ibdlive national teleconference. @YaleMed 60's male, Crohn's Dz '86. Surgery 2004 ICR. Now with recurrent Dz. MRE with recurrent long TI inflammation. C/S shows LG dys. Flat polyp, in cecum. ? plan. @MRegueiroMD .@arwmd .@IBDJournal .@CrohnsColitisFn
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C2. #ibdlive. Long term. Steroid taper. Working with neurologists. @UPMC - not all sarcoid respond to anti-TNF. @BenClickMD . Thanks @MRegueiroMD for moderating.
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C2. #ibdlive. Likely neuro and intestinal sarcoidosis. Rx steroids. Improved neuro and back to baseline. Brain sarcoid after anti-TNF. @Marylandibddoc - picture below.@MRegueiroMD .@arwmd
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C2. #ibdlive. Brain Bx done. @YaleMed - Whipple Dz. ? Diffuse granulomatous process. @CleClinicMD . Challenging conversation. @UPMC ? Vasculitic process. Re Brian Bx - hypercellular. ? Granuloma. Maybe vasculitis.
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C2. @Marylandibddoc 50’s make with abd pain. Prox jejunal thickening. Jenunal thickenkng. Path - chronic active inflammation. Dx with Crohns. #ibdlive
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C1. #ibdlive. Comments. Drug toxicity likely behind this. Non surgical. Back to RIH for comments. Back to @CleClinicMD And at some point surgery likely. Lehigh - started on Vedo. Homozygous defect may be behind this with AZT Rx. Alopecia a key finding.
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