Inflammatory Bowel Disease Case Study

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Home>Homework Answsers>Nursing homework helpInflammatory Bowel DiseaseCase StudyThe 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.StudiesResultsHemoglobin (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)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 Questions1. Why was this patient placed on immunosuppressive therapy?2. Why was the Meckel scan ordered for this patient?3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s Disease? (always on boards)4. What is prognosis for patients with IBD and what are the follow up recommendations for managing disease?6 years ago28.06.20195Report issueAnswer(1)prof avril4.7(863)4.6(17)ChatPurchase the answer to view itNOT RATEDImunotherapy.doc6 years agoplagiarism checkPurchase $5Bids(50)Amanda SmithPROF washington watsonDoctor OkumuMiss Brigitbrilliant answersBill_WilliamsMichelle OwensENS. writerkim woodsAngelina MayUrgent TutorCatherine OwensJessica LuisColossal GeniusTerry RobertsGenuine Geniusprof avrilFavouritewriterGradeSaverReem Hasanother Questions(10)Nonparametric Statistics and CorrelationI need help Its for the STATE OF FLORIDANeed 3 1 page essays written for entrance to the doctorate programAddokkas100In this assignment, you will research an emerging market and create a PowerPoint presentation for your manager.Week 10 Assignment NURS 6211: FINANCE AND ECONOMICS IN HEALTH CARE DELIVERYNJOSH ONLYDiscussion 2DiscussionsWrite an algebraic expression that represents the area of the flag.

b. They decided the area should be 260 square feet….

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