Morning Report

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Our patient Supportive treatment Steroid burst Diarrhea improved with steroids and therapeutic tacrolimus levels However... 2 years later presents with persistant non-bloody, diarrhea for 2 weeks, bloating and abdominal pain with bowel movements. Had been weaned from all medications 1 year prior. Last episode of neutropenia 1 year ago. Laboratory work-up unrevealing. No evidence of immunosuppression.
Repeat Colonoscopy Diffuse moderately erythematous, eroded and vascular-pattern- decreased mucosa was found from rectum to cecum. Biopsies: Terminal ileum - Mod active chronic ileitis, will ill-formed intramucosal granulomas R Colon, L Colon - Mod active colitis with epithelioid granulomas Recto-sigmoid - Mild to mod active colitis Comment: Findings likely represent inflammatory bowel dz (favor Crohn's), although a prolonged infectious enterocolitis should be ruled out.
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 and 20: Diarrhea + Abd pain, > 5 days • N
Page 21 and 22: Graft Versus Host Disease - Present
Page 23 and 24: Graft Versus Host Disease - Diagnos
Page 25 and 26: Hill GR, Ferrara JLM. The primacy o
Page 27: Our patient Supportive treatment St
Page 32 and 33: Crohn's colitis after stem cell tra
Page 34: Take Home Points • Understand the

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