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Inflammatory Bowel Disease West Case Conference
Past Events
September
9/11/23
Main Case:
Oregon Health & Science University, Dr. Ashley Thompson
Differential Diagnosis:
79 year old female with history of HTN, HFpEF, recurrent C Diff colitis presenting with 2 year history of episodic vs relapsing and remitting pattern of severe malabsorptive diarrhea necessitating hospitalization with work up revealing gastritis with a few granulomas, and ulcerative enteritis with acute and chronic inflammation which improved with steroids.
Clinical Vignette:
University of Arizona, Angela Curry DNP
Rectal Mucosa:
37 y/o M with UC on vedolizumab found to have abnormal appearing rectal mucosa
August
8/14/23
Main Case:
University of California Irvine, Dr. Brian Mendoza
Rectal Prolapse:
78 yo F w/ PMH of HTN, HLD, DM, OSA, recurrent UTIs, rectal prolapse s/p surgical repair, chronic constipation with intermittent rectal bleeding, constipation and diarrhea and previously found to have proctitis 12/2020 and was deemed to have UC
Clinical Vignette:
Virginia Mason Franciscan Health, Dr. James Lord
Obstructive Crohn’s Disease:
52 y/o woman with longstanding Crohn’s
July
7/10/23
Main Case:
Stanford, Dr. Chiraag Kulkarni
Asceptic Abcess Syndrome:
Patient with aseptic abscess syndrome started on infliximab for severe colitis favoring Crohn’s
Clinical Vignette:
University of California Los Angles, Dr. Jenny Sauk
Pregnancy with refractory disease:
5 year old woman with history of ulcerative colitis refractory to infliximab, ustekinumab, adalimumab, 6mp, cyclosporine, partial response to vedolizumab currently on upadacitinib interested in family planning
June
6/12/23
Main Case:
University of Colorado, Drs. Matthew Myers and Calen Steiner
Radiation Enteritis vs. SB Chron's:
60 yo female with Hx of anal SCC s/p chemoradiation with subsequent radiation proctitis + mid/proximal small bowel enteritis/strictures
Clinical Vignette:
Banner Phoenix, Dr. Rashmi Kumar
Medication-induced Crohn's:
51 y/0 M treated for optic papillitis presents with 60 lb unintentional weight loss, abdominal pain, and diarrhea.
May
5/15/23
Main Case:
University of Arizona, Dr. Sasha Taleban
Rare complication:
20 y/o F with h/o UC admitted with exacerbation of ulcerative colitis.
Clinical Vignette:
University of Washington, Jason Harper
Spontaneous Remission:
40 y/o woman diagnosed with E1 UC, multi-drug refractory disease.
April
4/10/23
Main Case:
Virgina Mason Franciscan Health: Dr. Timothy Zisman
High Illiostomy Output:
40 yo M dx with Crohn’s ileocolitis in 1993 (at age 11), also with PSC
Clinical Vignette:
Palo Alto Medical Foundation, Dr. Ryan McConnell
Iron Deficiency Anemia:
42 year-old man with penetrating ileocolonic Crohn’s disease status-post ileocolonic resection x 2, IBS-D, recurrent iron deficiency anemia dependent on IV iron, internal hemorrhoids
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