#IBD Flare Hx
-Crohns or UC: ***
-Diagnosed: ***
-IBD provider: ***
-Treatments tried with dates: *** (biologics, 5-ASAs, steroids)
-fever, weight loss, urgency, rectal bleeding, passage of mucus, tenesmus, and abdominal pain.
-small bowel obstruction (nausea/vomiting), anorexia, weight loss, fever, malnutrition
-diarrhea
-baseline abdominal pain, diarrhea, BRBPR, #BMs at night, new meds (NSAIDs, Abx, OTC), recent smoking or smoking cessation, current/prior IBD meds and compliance, nausea/vomiting
***Physical Exam: overall appearance, perianal disease, oral ulcers, erythema nodosum, pyoderma gangrenosum
>Ulcerative colitis: fever, weight loss, urgency, rectal bleeding, diarrhea, passage of mucus, tenesmus, and abdominal pain.
>UC Proctitis: tenesmus, urgency, and passage of mucus and blood per rectum
>UC extensive colitis usually have more diarrhea, weight loss, fever, clinically significant blood loss, and abdominal pain
>CD: abdominal pain more predominant
>CD ileum: small bowel obstruction, anorexia, loose or frequent stools, weight loss, fever, malnutrition
>CD colitis: diarrhea (sometimes with blood),
-Montreal Criteria: <4, 4-6, 6+ BM's/day, ESR, pain, weight loss, HgB
Abdominal pain (0-10):
BM a day:
Consistency:
% of stools have blood:
Urgency:
Nocturnal BM:
Weight change over last 6 mo:
Appetite (good/average/poor):
Fevers/chills:
Heartburn:
Nausea/vomiting:
Abdominal bloating/distention:
#IBD Work-up
-CRP/ESR
-send Celiac Disease serologies
-folate, iron, vitamin D, Vitamin B12 (replete Vitamin D if deficient)
Stool studies:
-Fecal calprotectin
-C Diff
-Microsporidia
-Bacterial Stool studies (Salmonella, Shigella, Campylobacter, Yersinia, E. Coli)
-Stool O&P
#IBD Flare Plan
-*** IV methylprednisolone 1mg/kg
-IV fluids, replete electrolytes
-Ciprofloxacin or Flagyl given Sx of fever and Hx of fistula/abscess, pouchitis, leukocytosis, bandemia
-continue DVT Ppx even if active bleeding
-send stool calprotectin
-send CRP/ESR--trend CRP daily afterwards
-send stool studies (C. Diff, stool bacterial cultures, stool O&P, microsporidia)
-if febrile, send blood cultures
-send CBC, CMP, folate, iron, vitamin D, Vitamin B12 (replete Vitamin D if deficient)
-send Celiac Disease serologies
-Avoid NSAIDs, opioids, antidiarrheals
***involve colorectal surgery early, re: active UC, make aware of patient in case symptoms don't respond to medical treatment and colectomy needed
***send anti-TNF pre-infection labs: HIV, t-spot, HAV total Ab, HBV sAg/sAb/cAb, HCV Ab
***send drug levels of anti-TNF
***NPO @ MN for Colonoscopy/Flex Sig on ***