Emily Johnson
874636
Emily Johnson
27 y/o
Female
Attending
Dr. Linda Martinez
Insurance
Blue Cross Blue Shield
Emergency Contact
Sarah Thompson (Sister), XXX-555-9876
Chief Complaint
"I've had abdominal pain and diarrhea for the past two weeks. It’s been getting worse, and now I feel weak and nauseous."
Medical History
'- Crohn's Disease: Diagnosed 5 years ago
- Iron Deficiency Anemia
- Seasonal Allergies
- Occasional Anxiety
- Multiple Hospitalizations for Crohn’s Flares
Allergies
Penicillin (Rash)
Nuts (Anaphylaxis)
Question 1
What does an elevated CRP level indicate in the context of Crohn’s disease?
Elevated CRP and Crohn's Disease: Elevated CRP indicates systemic inflammation, supporting the diagnosis of a Crohn’s flare.
Question 2
Why is it important to assess for dehydration in this patient?
Dehydration in Crohn’s: Frequent diarrhea can lead to fluid and electrolyte loss, making rehydration and monitoring essential.
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27 y/o
Female
Attending
Dr. Linda Martinez
Insurance
Blue Cross Blue Shield
Emergency Contact
Sarah Thompson (Sister), XXX-555-9876
Chief Complaint
"I've had abdominal pain and diarrhea for the past two weeks. It’s been getting worse, and now I feel weak and nauseous."
Medical History
'- Crohn's Disease: Diagnosed 5 years ago
- Iron Deficiency Anemia
- Seasonal Allergies
- Occasional Anxiety
- Multiple Hospitalizations for Crohn’s Flares
Allergies
Penicillin (Rash)
Nuts (Anaphylaxis)
Question 3
Why are corticosteroids used during a Crohn’s disease flare?
Corticosteroid Use: Steroids are used for their anti-inflammatory properties to manage acute flares and reduce symptoms.
Question 4
What dietary modifications are recommended for patients with active Crohn’s disease?
Low-Residue Diet: This diet helps minimize intestinal volume, making it easier to tolerate during active inflammation.
27 y/o
Female
Attending
Dr. Linda Martinez
Insurance
Blue Cross Blue Shield
Emergency Contact
Sarah Thompson (Sister), XXX-555-9876
Chief Complaint
"I've had abdominal pain and diarrhea for the past two weeks. It’s been getting worse, and now I feel weak and nauseous."
Medical History
'- Crohn's Disease: Diagnosed 5 years ago
- Iron Deficiency Anemia
- Seasonal Allergies
- Occasional Anxiety
- Multiple Hospitalizations for Crohn’s Flares
Allergies
Penicillin (Rash)
Nuts (Anaphylaxis)
Question 5
What is the rationale for tapering steroids instead of stopping them abruptly?
Steroid Tapering: Gradual reduction prevents adrenal insufficiency and supports a safe transition off corticosteroids.
Question 6
What long-term complications can occur if Crohn’s disease is not well managed?
Complications of Poorly Managed Crohn’s: Long-term complications can significantly impact the patient's quality of life and require surgical interventions in severe cases.
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