What are the Etiology, trends and issues regarding Inflammatory Bowel Disease?
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What are the Etiology, trends and issues regarding Inflammatory Bowel Disease?
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- 1. Why is the new diet prescribed? (What is believed to be his problem?)Mr. Gutteman’s problem continues despite the diet change. In fact, thefrequency of diarrhea increases and by the end of the next day, he iscomplaining of severe abdominal pain. Again, he is asked some questions to probe his condition. One is whether he has traveled outside the countryrecently. He has not, reducing the possibility of infection with Shigella bacteria, which is associated with poor sanitation. Other questions: ● Do you drink alcohol and how much? (Response: “Little or none.”) ● Have you recently eaten raw eggs or a salad containing mayonnaise at a gathering?(Response: “No.”) ● Are there certain foods that seem to precipitate these attacks? (Response: “Yes, when I have coffee and a sandwich.”) 2. On the basis of these responses, what do you think Mr. Gutteman’s diarrhea might stem from? How will it be diagnosed and treated?What kind of liver changes are common to alcoholic cirrhosis and nonalcoholic fatty liver disease?Mrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however, she does spend most of her day in a wheelchair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives, and she…