Answers to Case 1 Questions

1. Enterocutaneous fistula – A fistula is an abnormal passage between two internal organs, or from an internal organ to 
the surface of the body
? Enterocutanous means 
2. Signs and Symptoms of Chron’s Disease
A. Characterized by lesions in the GIT that are likely to spread to adjoining areas of the intestine
B. Associated Problems
a. intestinal cramping
b. fatigue
c. anorexia
d. diarrhea, steathorrheaa
C. Treatment
a. steroids
b. bowel removal and resection
D. MNT
a. NPO to CL to FL and progress to stable diet if acute
b. Once stable:
(1)  40-50 kcal/kg BW
(2) 1.0-1.5 g protein/kg BW
(3) Small, frequent meals
(4) Fat restricted diets
(5) Lactose controlled diets PRN
(6) Vitamin and mineral supplmentation
(7) High fiber diet

3. Enteritis – inflammation of the intestine, especially the small intestine

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

5. SMA =

6. CBC =

7. Trig =  Triglycerides

8. High chloride indicates