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

question 13

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
-Due to RD's weight loss, what kcalorie intake is the most appropriate?

• A)1300 kcal
• B)1500 kcal
• C)1800 kcal
• D)2600 kcal

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Definitions:

Biological Father

A term referring to the man from whom a child has inherited DNA, typically the child's genetic parent.

Y Chromosome

One of the two sex chromosomes in humans and most other mammals, typically present in males, who have one X and one Y chromosome.

X Chromosome

One of the two types of sex chromosomes, present in both genders but in women as a pair and men paired with a Y chromosome.

Gamete

A mature haploid male or female germ cell which is able to unite with another of the opposite sex in sexual reproduction to form a zygote.