Crohn disease Assignment 5
Crohn disease Assignment 5
Read the following case study and discuss the questions:
Mr. Enson comes to the clinic reporting abdominal pain and
watery diarrhea.
“Sometimes, it’s pretty severe,” he says. “It’s been that way for 2
days. The scary part is that I have a lot of blood in my stool now.
It’s not like before. This is way more intense.”
Mr. Enson has a history of Crohn disease, which is now
exacerbated by extensive inflammation. His history indicates that
he has been taking antiinflammatory agents for several years
despite complaining of nausea and heartburn from the drugs.
“I’ve already tried the steroid route,” he says. “I don’t want to ever
do that again. I prefer the sulfasalazine. The trouble is that it
doesn’t seem to be helping anymore. What can we try next?”
He has already been in drug trials for a new immune system
suppressor, with no significant clinical change. Dr. Holly, Mr.
Enson’s physician, suspects a resection may be necessary.
Dr. Holly examines his abdomen for tenderness, requests a white
blood cell count, and assesses his pain. She also orders a
computed tomography (CT) scan of his large intestine.
Mr. Enson’s white-cell count is high, which Dr. Holly had expected,
and the CT scan reveals significant new damage to Mr. Enson’s
gastrointestinal tract. She schedules him for a surgical procedure
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