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

question 15

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
-What is a common complication of Crohn's that may require surgery?

• A)toxic megacolon
• B)fistulas
• C)intestinal mucosal damage
• D)diarrhea

---

Definitions:

Membrane Channels

Proteins in cell membranes that allow the passage of ions or molecules in and out of the cell.

Phospholipids

A type of lipid molecule that is a major component of all cell membranes, providing structural integrity and involved in signaling pathways.

Proteins

Large molecules made up of amino acids that perform a variety of functions in the body, such as catalyzing metabolic reactions and supporting cell structure.

Alleles

Variants of a gene that arise by mutation and are found at the same place on a chromosome.