Answers to Case 1 Questions

Enterocutaneous fistula – A fistula is an abnormal passage between two internal organs, or from an internal organ to the 
surface of the body

Signs and Symptoms of Chron’s Disease
Characterized by lesions in the GIT that are likely to spread to adjoining areas of the intestine
Associated Problems
intestinal cramping
fatigue
anorexia
diarrhea, steathorrheaa
Treatment
steroids
bowel removal and resection
MNT
NPO to CL to FL and progress to stable diet if acute
Once stable:
40-50 kcal/kg BW
1.0-1.5 g protein/kg BW
Small, frequent meals
Fat restricted diets
Lactose controlled diets PRN
Vitamin and mineral supplmentation
High fiber diet

Enteritis – inflammation of the intestine, especially the small intestine

What is the med Azulfindine – what is its purpose to treat the condition?
Anti-inflammatory agents and Immunomodulatory agent

Trig =  Triglycerides