Case Study RD Is a 29 Yo F Admitted with Intractable Diarrhea

question 42

Multiple Choice

Case Study
RD is a 29 yo F admitted with intractable diarrhea and abdominal pain.She has a PMH of Crohn's disease and has had two previous resections of the small bowel.She frequently has pain in the RLQ after eating.She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs.She currently takes Asacol and Lomotil to manage the symptoms of Crohn's disease.After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered.Emergency sgy was performed to remove the obstruction and a resection was done with the remaining intestine.RD's gastroenterologist recommends bowel rest and expects her to have a full recovery.
HT: 5'4"      WT: 110#        UBW: 122#
Diet: NPO      Meds: Asacol, Lomotil
Alb.2.7          Pre-Alb.17
Na: 138        Cl: 98      BUN: 5
Glucose: 80
K: 3.6         CO₂: 25      Cr: 0.8
-Which of the following medications would be prescribed to RD during an acute flair-up?

• A)biologic therapies
• B)immunosuppressants
• C)corticosteroids
• D)purine antagonists

---

Definitions:

Meet New Challenges

The process of confronting and addressing new or unforeseen difficulties that arise.

Temperament

An individual's inherent personality and behavioral style, often considered as the basis of personality development.

Early Childhood

A critical developmental phase covering the period from birth to around 8 years old, focusing on rapid physical, cognitive, and emotional growth.

Psychosocial Stage

A concept in Erik Erikson's theory referring to the eight stages of human development, each characterized by a different conflict that must be resolved.