Crohn's disease case study A 65-year-old man with Crohn's disease for 15 years, consults the outpatient clinic of the ga

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Crohn S Disease Case Study A 65 Year Old Man With Crohn S Disease For 15 Years Consults The Outpatient Clinic Of The Ga 1 (103.34 KiB) Viewed 187 times

Crohn's disease case study A 65-year-old man with Crohn's disease for 15 years, consults the outpatient clinic of the gastroenterologist on an annual basis. He is suffering from weight loss and increased (stinky and difficult to flush) diarrhea over the past 6 months. As a consequence, he is feeling weak, socially disabled and is restricted to staying home (around a toilet). The dietitian is consulted to determine and improve his nutritional status. The patient's wishes are to make the diarrhea manageable and to gain weight and strength. The differential diagnosis of the gastroenterologist includes exacerbation of Crohn's disease and/or malabsorption due to bacterial overgrowth. He prescribes a trial treatment with antibiotics and pancreatic enzymes. • Part 1: 1. What is Crohn's disease? What symptoms of Crohn's disease does the patient exhibit? (10pts) 2. How can this diseases be diagnosed? (6pts) 3. What lab values should be ordered to help in assessing your patient? (5pts) 4. What treatment options are available for maintenance treatment in Crohn's disease? (5pts) • Part 2: →Anthropometrics: -Height 1.84 m -Normal weight 83 kg -Current weight 75 kg -Weight 1 month ago 77 kg -Weight loss 6 months ago 9.6% 5. Assess the patient & write two PES statements. (4pts) 6. During exacerbation of the disease, how would you intervene as a dietitian? How does your intervention differ during periods of remission? (10pts) 7. Calculate his nutritional requirements and provide him with a sample menu in your both interventions. (10pts)