Top Tweets for #postB2B
@MarcelYibirin @BarbaraOlendzki @AKohli_MD @joshsteinbergMD @JasonHouMD @EdwardLoftsu2 @BattatMD4IBD @JosephHabibi_MD @AimenKhanMD @BassiMehak @GutMD_ @AdamFayeMD @dunleavy_katie @kehutchins77 @KatieFalloonMD @NayantaraCoelho @AmJGastro @DrJordanAxelrad @DaniyalRaza92 @IBD_Houston @CathyLuMD @AroojMianMD @DCharabaty @IBDMD @DrSamirAShah1 @Samir_Grover @IBDimmunology @dr_fcalderaibd @vipuljairath @ahmed_alqady_md @AasmaShaukatMD @MazenAlmasry4 @HishamWehbeMD @jalpa_devi @AshwinMDIBD @rebelliousgut @waqqasafif @ifrahfatima @EBGIdoc @GI_JeffMD @BenClickMD @fudmanMD @ibdseb @KevinWatsonJrMD @KendallBeckMD @_miquelmarques @FezaRemziMD @grepmeded @HenryHW_Liu @zsgottlieb #PostB2B #IBDPoll2️⃣
🆓#CME👉🏽 https://t.co/oo585f90bg
😉this one is a tough one
(Answer in #B2B thread)
22y/ with new dx of #Crohns
🔦CLN: patchy inflammation R colon + ileum
📸MRE : no stricture or fistula
The #Montreal classification (Age. Location. Behavior) is
@MarcelYibirin @BarbaraOlendzki @AKohli_MD @joshsteinbergMD @JasonHouMD @EdwardLoftsu2 @BattatMD4IBD @JosephHabibi_MD @AimenKhanMD @BassiMehak @GutMD_ @AdamFayeMD @dunleavy_katie @kehutchins77 @KatieFalloonMD @NayantaraCoelho @AmJGastro @DrJordanAxelrad @DaniyalRaza92 @IBD_Houston @CathyLuMD @AroojMianMD @DCharabaty @IBDMD @DrSamirAShah1 @Samir_Grover @IBDimmunology @dr_fcalderaibd @vipuljairath @ahmed_alqady_md @AasmaShaukatMD @MazenAlmasry4 @HishamWehbeMD @jalpa_devi @AshwinMDIBD @rebelliousgut @waqqasafif @ifrahfatima @EBGIdoc @GI_JeffMD @BenClickMD @fudmanMD @ibdseb @KevinWatsonJrMD @KendallBeckMD @_miquelmarques @FezaRemziMD @grepmeded @HenryHW_Liu @zsgottlieb #PostB2B #IBDPoll1️⃣
🆓#CME👉🏽 https://t.co/oo585f90bg
Patients with #UlcerativeColitis always have inflammation that involves the #rectum & can extend more proximally;
🤔with the #exception of 👇🏽 where there can be relative rectal sparing (answer in thread ☝🏽)
@DLeVine901 @MondayNightIBD @ericbenchimol @DrChrisMoran @ibdtweets @MRegueiroMD @ibdgijami @BenClickMD @Siyan_Cao @SuhaAbushamma @DrJordanAxelrad @IBD_DrEMF @Gastro4Kids @BenjamminGold @DrRosenIBD @jlightdale @raghu_vikram @JenniferLeeLee1 @GutMD_ @sabpeds @JonathanMoses77 @johnmrosen @dr_rdvenkatesh @PLLU @vaibhav_manu @malloc_doc @hilarykmichel @JKurowskiMD @pedsGI_Japan @PedsGIChat @pedsgidoctora @pedsIBDdoc @PedsMamaDoc @SamPaglinco @NASPGHAN @rafeeq_rm @ConradCole10 @ManuelLaraMart @dziring @ankurchugh02 @MichaelKappel12 @GIGIPedsGI @bowelsounds @temarahajjat @pricetedwards @JeremyAdlerMD @GIJax_pedGI @AliQosChi_MD @NeeraGuptaMD @RossMaltz #PostB2B IBDPoll1️⃣
🔺14months old w bloody diarrhea, perianal fistula, failure to thrive. Treated for #VEOIBD w CsA & then IFX 10mg/kg q6wks, without improvement
🧬Genetic testing + homozygous IL-10RA mutation
What’s the most appropriate therapy?
@MondayNightIBD @AimenKhanMD @ibddocmaria @IBDimmunology @BattatMD4IBD @YOGI_IBD @NadeemYousafMD @EdBarnesMD @PSamikshaMD @IBD_Houston @IBD_FloMD @JamesLewisGIEpi @allisonoconn @bottomlineibd @joshsteinbergMD @JosephHabibi_MD @KiwanGIDoc @gnioannou @KrugCleveland @drkeithsiau @AkwiAsombangMD @FaubionWilliam @Badr_AlBawardy @DrJordanAxelrad @JeanFredericCo1 @UmaMahadevanIBD @Bealoquebea @jonashalfvarson @Siew_C_Ng @bruce_sands1 @RobertHirten @john_damianosMD @drshaunchuah @SunilAminMD @TrieuMD @shifaumarMD @AsadurRahman87 @RashidLui @ginorthshore @amelia_kellar @CathyLuMD @FarahMonzurMD @NiuSanford @Sung_Wook_Hwang @IslamHassanM @kehutchins77 @BassiMehak @HolubarStefan @rajwaghela7707 @docsudhakodali1 #PostB2B CMEPoll2️⃣
🪩Men with #IBD & age> 50 , treated with #thiopurines are at increased risk of which complications compared to younger people?
@MondayNightIBD @AimenKhanMD @ibddocmaria @IBDimmunology @BattatMD4IBD @YOGI_IBD @NadeemYousafMD @EdBarnesMD @PSamikshaMD @IBD_Houston @IBD_FloMD @JamesLewisGIEpi @allisonoconn @bottomlineibd @joshsteinbergMD @JosephHabibi_MD @KiwanGIDoc @gnioannou @KrugCleveland @drkeithsiau @AkwiAsombangMD @FaubionWilliam @Badr_AlBawardy @DrJordanAxelrad @JeanFredericCo1 @UmaMahadevanIBD @Bealoquebea @jonashalfvarson @Siew_C_Ng @bruce_sands1 @RobertHirten @john_damianosMD @drshaunchuah @SunilAminMD @TrieuMD @shifaumarMD @AsadurRahman87 @RashidLui @ginorthshore @amelia_kellar @CathyLuMD @FarahMonzurMD @NiuSanford @Sung_Wook_Hwang @IslamHassanM @kehutchins77 @BassiMehak @HolubarStefan @rajwaghela7707 @docsudhakodali1 #PostB2B CMEPoll1️⃣
🪩In ppl w #IBD, age>60 w a Charlson Comorbidity Index >1, which biologic was associated w the Lowest rate of #infection- related #hospitalization 🏥 compared to TNFi (data from a large national insurance database)
@MondayNightIBD @kehutchins77 @JHashashMD @DrFeuerstein @AdamFayeMD @ibddocmaria @DrJordanAxelrad @SophieBalzoraMD @guthealingg @ptandonGI @ibdgijami @MN_GIMD @tinahamd @JustinFieldMD @DrSamirAShah1 @YeseniaGreeff @IBDMD @HarshitKharaMD @NayantaraCoelho @ReezwanaCMD @SultanShazi @ibdtweets @EdBarnesMD @ibdseb @UmaMahadevanIBD @priyakathpalia @JPAchkarMD @LoriPlung @ManuelBragaMD @BalissMichelle @DVinsard @GuildConference @KatieFalloonMD @MLutzMD @DocCohenIBD @joshsteinbergMD @SaraElOualiMD @DaniyalRaza92 @fudmanMD @HolmerMd @DrAllegrettiIBD @IBD_MGalgani @IBD_Houston @FarrayeIBD @SalamBachour @DrPhil_Gu @md_ayanna @djc795 @Chris_Velez_MD @clbowlus #PostB2B #CMEPoll2️⃣
The patient was started on IFX & received an accelerated 2nd dose 5 days later. CRP normalized and BM< 4 with occasional blood streaks.
✂️ You tell her that her risk of colectomy in the next 1 year is close to ..
@MondayNightIBD @kehutchins77 @JHashashMD @DrFeuerstein @AdamFayeMD @ibddocmaria @DrJordanAxelrad @SophieBalzoraMD @guthealingg @ptandonGI @ibdgijami @MN_GIMD @tinahamd @JustinFieldMD @DrSamirAShah1 @YeseniaGreeff @IBDMD @HarshitKharaMD @NayantaraCoelho @ReezwanaCMD @SultanShazi @ibdtweets @EdBarnesMD @ibdseb @UmaMahadevanIBD @priyakathpalia @JPAchkarMD @LoriPlung @ManuelBragaMD @BalissMichelle @DVinsard @GuildConference @KatieFalloonMD @MLutzMD @DocCohenIBD @joshsteinbergMD @SaraElOualiMD @DaniyalRaza92 @fudmanMD @HolmerMd @DrAllegrettiIBD @IBD_MGalgani @IBD_Houston @FarrayeIBD @SalamBachour @DrPhil_Gu @md_ayanna @djc795 @Chris_Velez_MD @clbowlus #PostB2B #CMEPoll1️⃣
29yo F admitted for ASUC not responding to IV steroids x3 days, Cdiff neg, albumin 2.9, CRP 15; has not been on prior biologics. Abdomen soft Flex sig: Mayo 2-3 colitis, no CMV on biopsies.
🩺 What would you do next?
@MondayNightIBD @KNWeaverMD @DrRitaKnotts @ReezwanaCMD @AimenKhanMD @yaransarkis @RomyChamoun @DrMohdZein @MItaniMD @SayeghLea @vipuljairath @silvio_silvio75 @bruce_sands1 @SCKimIBDMD @jalpa_devi @kehutchins77 @GI_PharmD @JHashashMD @pohungVChen @fgomollon @JGubatanMD @LaurenLoebMD @HannahWFiske @JosephHabibi_MD @IBD_JohnD @ibdtweets @IBD_FloMD @BenClement_MD @bkocharmd @NayantaraCoelho @drdawnbeaulieu @aboutIBD @mustbthemusic @JoannaMeliaMD @NailaArebi @sabpeds @FITWITMD @DrAilsaHart @Waseem_AhmedMD @Chico_Assis1977 @elrets @PeyrinBiroulet @JeanFredericCo1 @RajaAtreya @peter_bossuyt @RPanaccione @IBDPharmacist @IBD_Afzali @waqqasafif @DrRosenIBD 19/#PostB2B #CMEPoll2️⃣
🆓#CME👉🏽https://t.co/JUehednsrH
In #LUCENT RCT, pts with UC & no response to the 3 IV #MIRI induction doses & who received an extended induction (3 more MIRI IV)
Achieved Clinical Response and Clinical Remission at week 52 (whether bio-naive or exposed)
@MondayNightIBD @KNWeaverMD @DrRitaKnotts @ReezwanaCMD @AimenKhanMD @yaransarkis @RomyChamoun @DrMohdZein @MItaniMD @SayeghLea @vipuljairath @silvio_silvio75 @bruce_sands1 @SCKimIBDMD @jalpa_devi @kehutchins77 @GI_PharmD @JHashashMD @pohungVChen @fgomollon @JGubatanMD @LaurenLoebMD @HannahWFiske @JosephHabibi_MD @IBD_JohnD @ibdtweets @IBD_FloMD @BenClement_MD @bkocharmd @NayantaraCoelho @drdawnbeaulieu @aboutIBD @mustbthemusic @JoannaMeliaMD @NailaArebi @sabpeds @FITWITMD @DrAilsaHart @Waseem_AhmedMD @Chico_Assis1977 @elrets @PeyrinBiroulet @JeanFredericCo1 @RajaAtreya @peter_bossuyt @RPanaccione @IBDPharmacist @IBD_Afzali @waqqasafif @DrRosenIBD 18/#PostB2B #CMEPoll1️⃣
🆓#CME👉🏽https://t.co/JUehednsrH
25y/o with new dx of #Crohns was started on UST, without response, FCP 450
The patient asks if the new drugs he has seen on 📺 are an option
You explain there is data that show that in disease with no response to UST, IL23
@MondayNightIBD @DrJFeuerstein @AdamFayeMD @HolmerMd @JHashashMD @DrJordanAxelrad @kehutchins77 @YeseniaGreeff @IBDBen @GCalderonMD @ReezwanaCMD @Realcecum @SophieBalzoraMD @ptandonGI @Y_ECCO_IBD @IBD_FloMD @MN_GIMD @IBDMD @tinahamd @ibdgijami @FarrayeIBD @AGA_Gastro @AasmaShaukatMD @DrDavidLarson @UGrewalMD @SultanShazi @GloverQuarshie @Adel_Hajj_Ali @gnioannou @Gut_BMJ @DrSamirAShah1 @SunandaKaneMD @keljurdi @HamdehShadi @DivyeshReddy @PriankaGajula @DouglasAdlerMD @HarshitKharaMD @CiorbaGI @AGA_CGH @TabibianMDPhD @clbowlus @CLD_Learning @keri_lunsford @rachnatshroff @BilalMohammadMD @KiwanGIDoc @DrMarinaKimP @VictorChedidMD @PriSantiagoMD 16/#PostB2B #IBDPoll 2️⃣
🆓#CME👉🏼https://t.co/MszZpfIGOe
27 y/old male w moderate UC, not better on 5ASA. EBV serology negative. You discuss options, & his main concern is the potential risk of malignancy with adv. therapies
🔺Which MOA carries the Highest risk of #lymphoma?
@MondayNightIBD @DrJFeuerstein @AdamFayeMD @HolmerMd @JHashashMD @DrJordanAxelrad @kehutchins77 @YeseniaGreeff @IBDBen @GCalderonMD @ReezwanaCMD @Realcecum @SophieBalzoraMD @ptandonGI @Y_ECCO_IBD @IBD_FloMD @MN_GIMD @IBDMD @tinahamd @ibdgijami @FarrayeIBD @AGA_Gastro @AasmaShaukatMD @DrDavidLarson @UGrewalMD @SultanShazi @GloverQuarshie @Adel_Hajj_Ali @gnioannou @Gut_BMJ @DrSamirAShah1 @SunandaKaneMD @keljurdi @HamdehShadi @DivyeshReddy @PriankaGajula @DouglasAdlerMD @HarshitKharaMD @CiorbaGI @AGA_CGH @TabibianMDPhD @clbowlus @CLD_Learning @keri_lunsford @rachnatshroff @BilalMohammadMD @KiwanGIDoc @DrMarinaKimP @VictorChedidMD @PriSantiagoMD 15/ #MondayNightIBD
#PostB2B #IBDPoll 1️⃣
🆓#CME👉🏼https://t.co/MszZpfIGOe
🔺Which of the following is the strongest risk factor for colorectal cancer in #IBD ?
@RakahnHaddadin @MondayNightIBD @JCGjournal @theng_gan @Jonathansegal85 @UKGastroDr @ign76 @VinayChandraMD @JaniceOhMD @drdedeck @pohungVChen @berkeleydoc @IBDJournals @manu_barreiro @nloganmd @JeanFredericCo1 @amelia_kellar @RPanaccione @ryanungaro @IBDmedicaldoc @KaarinaKowalec @ericbenchimol @ibdgijami @MN_GIMD @joostphdrenth @ERN_RARE_LIVER @JSeBaStIanP @JosephHabibi_MD @SWexner @JHashashMD @DuekerJeffrey @DrSanket_Patel @rkhsusa @gi_jeff247 @ibdseb @AhmMou_92 @SunandaKaneMD @drkeithsiau @LoriPlung @AimenKhanMD @IBDMD @ibddocalex @ibdtweets @BenClickMD @P_DeepakIBDMD @RachelWinterMD @Gb7579 @IBDGastroDocSg @GilMelmedMD @ibddocmaria #PostB2B #IBDPoll1️⃣
🆓#CME 👉https://t.co/KgJ23y7tEY
Which substance use disorder has the strongest association with ⬆️risk of #Crohn’s disease progression?
@PSamikshaMD @MondayNightIBD @IBDBen @GCalderonMD @ReezwanaCMD @DavidBruiningMD @HorstIBDDoc @ManuelBragaMD @P_DeepakIBDMD @Realcecum @SophieBalzoraMD @ptandonGI @Y_ECCO_IBD @SultanShazi @GloverQuarshie @Adel_Hajj_Ali @gnioannou @KiwanGIDoc @DrMarinaKimP @SpyrosZouridis @HBoudaher @EricaBeckerMD @IBD_FloMD @MN_GIMD @RolnikDaniel @NEJM @doclauravater @HolubarStefan @jordanmaloneDO @BakkorMd @Alibutt1995 @VijaySAre9 @karl_akiki @SantaellaMD @JHashashMD @SunandaKaneMD @keljurdi @HamdehShadi @DivyeshReddy @PriankaGajula @EricYoonMD @DouglasAdlerMD @HarshitKharaMD @LiverNotFighter @DrJFeuerstein @clivejmiranda @SchwartzbergMD @Bealoquebea @GKochharMD @rajster #MondayNightIBD
#PostB2B #IBDPoll 2️⃣
🆓CME https://t.co/9V5twdOqU8
🤰🏽Women with #IBD who are pregnant should get low dose #aspirin (ASA) starting week 12-16 to prevent … ?
#GITwitter #ObGynTwitter #MFM
@MazenAlmasry4 @MondayNightIBD @bbuchbinderMD @ChaftJamie @gregfischer72 @margare89055458 @MyriamChalabi @GeneCollector @drkeithsiau @ArndtVogel @RyanNipp @CarlKayMD @realDoctorUgo @AmirGhaffariMD @AmyBugwadia @Gastrolegacy1 @TheGastrologer @RestelliniS @MbarbaraMD @GlassnerKerri @sang_hyoung @MLutzMD @KralJan @NabilQuraishi @RashidLui @JVG_GIMD @h_sokol @evanlipson @DeepakGIQuality @Ryansmith_MD @JPAchkarMD @Ari_G_MD @IBDimmunology @ReezwanaCMD @DhereMdEmory @waqqasafif @BattatMD4IBD @ibdgijami @nloganmd @ibdseb @GI_JeffMD @KajaliMishra @DrVinnyCheung @AndrewProthero6 @PKlenermanLab @sarah_sasson @KBollinMD @FunchainMD @DrJNaidoo @dr_kbrass #PostB2B #IBDPoll1️⃣
🆓#CME👉🏽 https://t.co/QKh8QAuVbi
57y/o w metastatic melanoma started ipilimumab + nivolumab 7 weeks ago. Now in ER w 4 days of non-bloody diarrhea (7 loose BM/day), abdopain, malaise. Stool studies pending, CT scan: pancolitis.
@MondayNightIBD @halesj126 @dunleavy_katie @jalpa_devi @AimenKhanMD @noorannemd @BassiMehak @MarcelYibirin @SanjeevaniTomar @GroverDheera @PSamikshaMD @NEJM @AdamFayeMD @AdamEhrlichMD @bradmorganstern @berkeleydoc @BenClement_MD @BenClickMD @bkocharmd @DisneyBen @bverstockt @Dana_Lukin @drdawnbeaulieu @DrRosenIBD @TheLancet @dr_fcalderaibd @DrJordanAxelrad @DrsMeena @DrHarryThomas @DrMohdZein @DrMohamadShehab @DSTEINGIMD @joshsteinbergMD @ericbenchimol @FITWITMD @h_sokol @EdwardLoftus2 @ibdtweets @fudmanMD @FrankIScottMD @Faiza_S_ @fabioteixeira22 @puentesfabi @elrets @HorstIBDDoc @ibdnaik @Bealoquebea @MRegueiroMD @ign76 17/#PostB2B #IBDPoll2️⃣
🆓#CME👉🏽https://t.co/ELBaGi2eO1
25 y/o w mod-severe UC is considering treatment options & is very concerned about risks of therapies in particular risk of infection & lymphoma
Which MOAs do you present as having a good ⚖️ of efficacy and safety profile?
@MondayNightIBD @halesj126 @dunleavy_katie @jalpa_devi @AimenKhanMD @noorannemd @BassiMehak @MarcelYibirin @SanjeevaniTomar @GroverDheera @PSamikshaMD @NEJM @AdamFayeMD @AdamEhrlichMD @bradmorganstern @berkeleydoc @BenClement_MD @BenClickMD @bkocharmd @DisneyBen @bverstockt @Dana_Lukin @drdawnbeaulieu @DrRosenIBD @TheLancet @dr_fcalderaibd @DrJordanAxelrad @DrsMeena @DrHarryThomas @DrMohdZein @DrMohamadShehab @DSTEINGIMD @joshsteinbergMD @ericbenchimol @FITWITMD @h_sokol @EdwardLoftus2 @ibdtweets @fudmanMD @FrankIScottMD @Faiza_S_ @fabioteixeira22 @puentesfabi @elrets @HorstIBDDoc @ibdnaik @Bealoquebea @MRegueiroMD @ign76 16/#PostB2B #IBDPoll1️⃣
🆓#CME👉🏽https://t.co/ELBaGi2eO1
Pt w #Crohns starting Mirikizumab. You discuss the importance of endo improvement in addition to symptoms remission.
🔦In RCT what is the % of pts w endo response w Miri at yr 1 who maintained endo improvement at year 2 ?
@guthealingg @MondayNightIBD @Y_ECCO_IBD @southasianIBD @aboutIBD @Paul_Wischmeyer @IBD_FloMD @CrohnsColitisFn @erin_reme @sang_hyoung @richashuklaMD @ravmis81 @Muni_Kurtz @drRobinDud @edyta_tul @RahulSDalalMD @IBD_Afzali @IBDimmunology @ibdgijami @JeanFredericCo1 @EdBarnesMD @FrankIScottMD @IBDAPN @BDYE_IBD @IBD_Houston @Faiza_S_ @IBDrnEmilyB @Bealoquebea @ibdtweets @HappyGutMD @ptandonGI @JPAchkarMD @ownyourcrohns @ibdesis @IBDgirls @Realcecum @crohnsbabble @jalpa_devi @KamaniLubna @AsadurRahman87 @BilalMohammadMD @gastrogirl @burisch @PiaMunkholm @JulsgaardMette @vipuljairath @MariangelaAllo3 @peter_bossuyt @DCharabaty #PostB2B #IBDPoll2️⃣
🆓#CME👉🏽https://t.co/ahY5aH0hKd
27y/o UC on IFX x 2 yrs developed itchy #rash on palms and soles x 4 weeks. In a monogamous relationship, works in a daycare.
What is the most likely diagnosis :
@guthealingg @MondayNightIBD @Y_ECCO_IBD @southasianIBD @aboutIBD @Paul_Wischmeyer @IBD_FloMD @CrohnsColitisFn @erin_reme @sang_hyoung @richashuklaMD @ravmis81 @Muni_Kurtz @drRobinDud @edyta_tul @RahulSDalalMD @IBD_Afzali @IBDimmunology @ibdgijami @JeanFredericCo1 @EdBarnesMD @FrankIScottMD @IBDAPN @BDYE_IBD @IBD_Houston @Faiza_S_ @IBDrnEmilyB @Bealoquebea @ibdtweets @HappyGutMD @ptandonGI @JPAchkarMD @ownyourcrohns @ibdesis @IBDgirls @Realcecum @crohnsbabble @jalpa_devi @KamaniLubna @AsadurRahman87 @BilalMohammadMD @gastrogirl @burisch @PiaMunkholm @JulsgaardMette @vipuljairath @MariangelaAllo3 @peter_bossuyt @DCharabaty #PostB2B #IBDPoll1️⃣
🆓#CME👉🏽https://t.co/ahY5aH0PzL
34F severe perianal #Crohns s/p diverting #ostomy
Now: painful lesion around ostomy, started small red bump ➡️ ulcer w violaceous edges
What is your dx?
PG = Pyoderma Gangrenosum
//=parallel luminal🔥
X=doesn’t parallel🔥
@MondayNightIBD 25/#MondayNightIBD
#PostB2B #IBDPoll 2️⃣ #GETECCU
🆓CME 👉https://t.co/ELth5BAPiW
Más tarde se decide ✂️resección ileocecal por síntomas obstructivos crónicos. Además de plantear tratamiento profiláctico de recurrencia , ¿que debería hacer el paciente?
@MondayNightIBD 24/#MondayNightIBD
#PostB2B #IBDPoll 1⃣ #GETECCU
Paciente 25 años: vómitos, distensión y dolor abdominal TC: engrosamiento de la pared ileal +estenosis +dilatación proximal del int. delgado ¿Cuál es la frec. con la que la enf. de #Crohn se presenta con #estenosis al diagnóstico?
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