Exam 15: Diseases of the Lower Gastrointestinal Tract

RD is a 29-year-old female who is admitted to a hospital. She has intractable diarrhea and abdominal pain. She has a past medical history of Crohn's disease and has had two resections of the small intestine. She frequently experiences pain in the right lower quadrant of the abdomen after eating. She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming less than her caloric needs. She takes Asacol and Lomotil to manage the symptoms of Crohn's disease. During a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered. A surgery 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. Height: 5'4" $~~$ Weight: 110 pounds $~~$ Usual Body Weight: 122 pounds Diet: NPO $~~$ Meds: Asacol, Lomotil Alb. 2.7 $~$ Pre-Alb. 17 Na: $~ 138 ~\mathrm{Cl}: 98 ~$ BUN: 5 Glucose: 80 $\mathrm{K}: 3.6~ \mathrm{CO} 2: 25 \mathrm{Cr}: 0.8$ -What type of foods would a nutritionist recommend for RD for rehabilitation during a period of remission?

RD is a 29-year-old female who is admitted to a hospital. She has intractable diarrhea and abdominal pain. She has a past medical history of Crohn's disease and has had two resections of the small intestine. She frequently experiences pain in the right lower quadrant of the abdomen after eating. She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming less than her caloric needs. She takes Asacol and Lomotil to manage the symptoms of Crohn's disease. During a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered. A surgery 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. Height: 5'4" $~~$ Weight: 110 pounds $~~$ Usual Body Weight: 122 pounds Diet: NPO $~~$ Meds: Asacol, Lomotil Alb. 2.7 $~$ Pre-Alb. 17 Na: $~ 138 ~\mathrm{Cl}: 98 ~$ BUN: 5 Glucose: 80 $\mathrm{K}: 3.6~ \mathrm{CO} 2: 25 \mathrm{Cr}: 0.8$ -Which condition would most likely place RD at a risk of folate deficiency?

What recommendations should the dietitian make for a client with a newly placed ostomy?

Briefly describe the process of restriction and reintroduction of dairy products to clients with lactose malabsorption.

During a fecal microbiota transplantation, stool is obtained from a healthy donor and is delivered into the GI tract, usually via _______________.

The _______________ colon ends in the rectum where another sphincter (the anal sphincter) controls voluntary release of intestinal contents.

Define the following components that maintain the health of the colon and gut microbiota: resistant starch, prebiotics, probiotics, and synbiotics.

RD is a 29-year-old female who is admitted to a hospital. She has intractable diarrhea and abdominal pain. She has a past medical history of Crohn's disease and has had two resections of the small intestine. She frequently experiences pain in the right lower quadrant of the abdomen after eating. She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming less than her caloric needs. She takes Asacol and Lomotil to manage the symptoms of Crohn's disease. During a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered. A surgery 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. Height: 5'4" $~~$ Weight: 110 pounds $~~$ Usual Body Weight: 122 pounds Diet: NPO $~~$ Meds: Asacol, Lomotil Alb. 2.7 $~$ Pre-Alb. 17 Na: $~ 138 ~\mathrm{Cl}: 98 ~$ BUN: 5 Glucose: 80 $\mathrm{K}: 3.6~ \mathrm{CO} 2: 25 \mathrm{Cr}: 0.8$ -What type of medication would most likely be prescribed for RD during the acute phase of Crohn's disease?

A patient has just undergone a surgery to remove the colon and the rectum. This would most likely be a result of:

Describe what a dietitian would recommend to a client to increase fiber in his or her diet. Also, list examples of fiber-rich foods.

Which is a true statement regarding diverticulosis?

Which symptom is included as part of the Rome IV Criteria for diagnosing constipation?

With chronic ulcerative colitis, the intestinal wall can become so thin that the mucosa is ulcerated. This is referred to as _______________.

RD is a 29-year-old female who is admitted to a hospital. She has intractable diarrhea and abdominal pain. She has a past medical history of Crohn's disease and has had two resections of the small intestine. She frequently experiences pain in the right lower quadrant of the abdomen after eating. She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming less than her caloric needs. She takes Asacol and Lomotil to manage the symptoms of Crohn's disease. During a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered. A surgery 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. Height: 5'4" $~~$ Weight: 110 pounds $~~$ Usual Body Weight: 122 pounds Diet: NPO $~~$ Meds: Asacol, Lomotil Alb. 2.7 $~$ Pre-Alb. 17 Na: $~ 138 ~\mathrm{Cl}: 98 ~$ BUN: 5 Glucose: 80 $\mathrm{K}: 3.6~ \mathrm{CO} 2: 25 \mathrm{Cr}: 0.8$ -What is a common complication of Crohn's disease that may require surgery?

The _______________ is the primary site for reabsorption of bile acids.

Which of the following is a brush border enzyme?

Haustration in the large intestine is accomplished by alternating waves of relaxation and contraction of circular muscle.

Describe the process of lipid digestion and absorption in the small intestine.

The most common surgical procedure in ulcerative colitis is a _______________.

Which symptoms are the indicators of ulcerative colitis?