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crohn's Diease
n/a
| Question | Answer |
|---|---|
| Crohn's Disease | Chronic, nonspecific inflammatory bowel disorder that can affect any part of the GI tract from mouth to the anus. It affects the entire full thickness of the GI wall. |
| Prevalence | Ages 15-30, both sexes and Jewish ethicity. |
| Patho: | Inflammation of the entire layers of the bowel wall and in segments. Most of it occurs in the Ileuim. Ulcers are deep and long inbetween inflammed mucosa. |
| Principle symptoms: | Diarrhea (non-bloody), ab pain, weight loss, fatigue and fever. Other: cramping, arthritis and finger clubbing. |
| Complications: | Fistulas, strictures, peritonitis, fat/gluten intolerance & liver diseases. |
| Diagnostic studies: | Barium studies, ednoscopy with biopsy and lab studies. |
| Drug therapy: | Sulifasalazine, corticosteriods & immunosuppressive drugs |
| Nutrition therapy: | Diet high in protein and calories. Low residue diet. PTN for severe clients also pre/post op clients. |
| Management: | Rest periods, skin and perianal care, monitor side effects, stress reduction activities and when to seek medical help. |