Case Study: Inflammatory Bowel Disease

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Home>Homework Answsers>Nursing homework helpOKReview the case study and answer all questions with a scholarly response using APA and include 2 scholarly references.Inflammatory Bowel Disease:The patient is an 11-year-old girl who has been complaining of intermittent right lower quadrant pain and diarrhea for the past year. She is small for her age. Her physical examination indicates some mild right lower quadrant tenderness and fullness.StudiesHemoglobin (Hgb),: 8.6 g/dL (normal: >12 g/dL)Hematocrit (Hct),:   28% (normal: 31%-43%)Vitamin B12 level,:  68 pg/mL (normal: 100-700 pg/mL)Meckel scan,; No evidence of Meckel diverticulumD-Xylose absorption:  60 min: 8 mg/dL (normal: >15-20 mg/dL)  and  120 min: 6 mg/dL (normal: >20 mg/dL)Lactose tolerance:  No change in glucose level (normal: >20 mg/dL rise in glucose)Small bowel series:  Constriction of multiple segments of the small intestineDiagnostic AnalysisThe child’s small bowel series is compatible with Crohn disease of the small intestine. Intestinal absorption is diminished, as indicated by the abnormal D-xylose and lactose tolerance tests. Absorption is so bad that she cannot absorb vitamin B12. As a result, she has vitamin B12 deficiency anemia. She was placed on an aggressive immunosuppressive regimen, and her condition improved significantly. Unfortunately, 2 years later she experienced unremitting obstructive symptoms and required surgery. One year after surgery, her gastrointestinal function was normal, and her anemia had resolved. Her growth status matched her age group. Her absorption tests were normal, as were her B12 levels. Her immunosuppressive drugs were discontinued, and she is doing well.Critical Thinking QuestionsWhy was this patient placed on immunosuppressive therapy?Why was the Meckel scan ordered for this patient?What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’sDisease? (always on boards)What is prognosis for patients with IBD and what are the follow up recommendations formanaging disease?4 years ago09.06.20215Report issueAnswer(1)JudithTutor4.9(812)5.0(153)ChatPurchase the answer to view itIBD.docx4 years agoplagiarism checkPurchase $10Bids(106)Prof Double RMUSYOKIONES A+pacesetters2121Discount AssignColeen AndersonTutor Cyrus KenMaria the tutorJudithTutorDr Michelle MayaSynco_Solutionsfirstclass tutorJahky BFlexible Tutorprof bradleyDr. BenevequerubohTopanswersAshley EllieDiscount AnsAmerican Tutorother Questions(10)Argumentative philosophy paperBUSN 623 wk2Outline of the Final Papersend me message for your whastup ( perfect person math )2 page essaySynopsis of Service-Oriented OrganizationsgeoThe Courtswhy are union officials likely to oppose flexible work hours and other innovative works schedule?.

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