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Post-Radiation Colitis (3 of 13)

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(Post-irradiation mucosal vascular changes) Colonoscopy demonstrates multiple twisted small telangiectasias compatible with her history of radiation exposure. The most common symptom is rectal bleeding...

Post-Radiation Colitis (2 of 13)

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Endoscopic view of Post-irradiation proctitis Post-irradiation proctitis with extensive rectal musocal hypervascularity The image and the video clip show evidence of radiation injury. The changes...

Post-Radiation Colitis (1 of 13)

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This 77 year old woman underwent radiation therapy for cervical cancer approximately one and a half years ago. She remained well over one year. But over the past five months, she has had increasingly...

Endoscopic View of Pseudomembranous Colitis

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A 26 year-old man, who was under course of antibiotic therapy underwent a watery diarrhea and sepsis. Typical pseudomembranes adherent to the colonic mucosa in antibiotic-associated colitis. The...

Pseudomembranous Colitis

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A 43 year-old woman, Suffering of deformed rheumatoid arthritis, underwent a cholecystectomy. Broad-spectrum antibiotics were administered, and one week after she was released from the hospital, she...

Rectum (30 of 30)

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(Third Look) Pseudomembranous colitis was first described in 1893 when a patient with severe diarrhea was found to have "diphtheritic colitis" at autopsy. The condition was attributed to mucosal...

Rectum (29 of 30)

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(Third Colonoscopy)

Rectum (28 of 30)

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Unproven therapies Tapering course of standard antimicrobials Yeast (Saccharomyces boulardii) with AB Cholestyramine Lactobacillus acidophilus Nontoxigenic C. difficile (oral) Bacterial enemas Rectal...

Rectum (27 of 30)

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Confusing Terminology Antibiotic-associated diarrhea C. difficile is only one cause Clostridium difficile-associated diarrhea diarrhea + positive stool test Clostridium difficile colitis underlying pathologic...

Rectum (26 of 30)

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There are still some raised reddened lesions with scanty Pseudomembranes.

Rectum (25 of 30)

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In spite of twenty days of treatment and improvement of the symptoms there are some ulcerated lesions in phase of remission.

Rectum (24 of 30)

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Clostridium difficile infection (CDI) is a frequent cause of morbidity and mortality among elderly hospitalized patients. A small but increasing number of patients have developed fulminant CDI, and...

Rectum (23 of 30)

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(Third Colonoscopy)

Rectum (22 of 30)

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(Third Colonoscopy) Again a follow up endoscopy Smaller plaques, but already confluent.

Rectum (21 of 30)

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Practically most of the Pseudomembranes have been disappeared observing most of the lesion are in phase of remission. Toxic megacolon is well-established as an unusual presentation of C. difficile...

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