Morning Report

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More labs, studies Colonoscopy Terminal ileum appeared normal. A patchy area of mildly congested, erythematous and eroded mucosa was found from sigmoid to cecum. The rectum was involved with these changes, but less so. Impression: Non-specific colitis, but likely represented GVHD
Graft Versus Host Disease - Presentation • Acute GVHD defined as onset of sxs w/n 100 days of SCT • Classic presentation is abd cramps, diarrhea, rising bilirubin and maculopapular rash • Rash is most common initial sign, can range from sunburnt only on the neck to bullous lesions covering the entire body • Liver is the next most common site of involvement, manifesting as abnormal LFT's, with bili and alk phos rising first. Reflection of damage to bili canuliculi leading to cholestasis.
Page 1 and 2: Morning Report November 21 2011 Joh
Page 3 and 4: MKSAP On physical examination, the
Page 5 and 6: MKSAP Which of the following is the
Page 7 and 8: MKSAP Ulcerative colitis can be cla
Page 9 and 10: HPI 36 M with a h/o AML s/p stem ce
Page 11 and 12: Physical Exam Temp 36.5, HR 142, BP
Page 13 and 14: Acute Diarrhea - Differential Infec
Page 15 and 16: Initial Labs?
Page 17 and 18: Management, further workup? Acute D
Page 19: Diarrhea + Abd pain, > 5 days • N
Page 23 and 24: Graft Versus Host Disease - Diagnos
Page 25 and 26: Hill GR, Ferrara JLM. The primacy o
Page 27 and 28: Our patient Supportive treatment St
Page 29: Repeat Colonoscopy Diffuse moderate
Page 32 and 33: Crohn's colitis after stem cell tra
Page 34: Take Home Points • Understand the

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