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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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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 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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