What is the pathophysiologic mechanism for adrenal insufficiency in this patient? What is the Potential cause of the abnormal DEXA scan in this patient? For which condition has trazodone been subscribed for this patient? Why is this patient taking cyanocobalamin IM? DYCROHN DISEASEFor the Disease Summary for this case study,see the CD-ROM.PATIENT CASEHPIC.D. is a 32 yo woman with a 14-year Hx of Crohn disease who presents with a three-day Hxof diarrhea and steady abdominal pain. She has been referred by her PCP to the GI clinic.The clinical course of her disease has included obstruction due to small intestine strictureand chronic steroid dependency with disease relapse when attempting to taper steroids.Endocrine tests reveal that she has developed adrenal insufficiency as a result of steroid useand a DEXA scan has demonstrated significant demineralization of bone.Patient Case Question 1. What is the pathophysiologic mechanism for adrenal insuffi-ciency in this patient?Patient Case Question 2. What is a potential cause of the abnormal DEXA scan in thispatient?PSH• Portion of small bowel resected 5 years ago (obstruction from scarring and stricture)• Ovarian cyst drained, age 18• Appendectomy, age 13РМН• Crohn disease diagnosed 14 years ago (weight loss, severe diarrhea with multiple bowelmovements, abdominal pain, dehydration)• Major depression CASE STUDY 21 CROHNFHNo family Hx of IBDSH• Has been married for 11 years and has two daughters who are healthy• Works as a nurse with a local home healthcare agency• Non-smoker and non-drinkerROS• Up to 10 loose to semi-solid stools/day, non-bloody• Denies chills and canker sores• Stable weight with good appetite• Denies joint pain, skin lesions, blurred vision, and eye pain• Some mild fatigueMeds• Prednisone, 40 mg po QD• Trazodone, 100 mg po BID• Cyanocobalamin, 250 ug IM Q monthPatient Case Question 3. For which condition has trazodone been prescribed for thispatient?Patient Case Question 4. Why is this patient taking cyanocobalamin IM?PationCro

A bowel disease which affects and degenerates the intestines is the Crohn’s disease. The symptoms of…

What is the pathophysiologic mechanism for adrenal insufficiency in this patient? What is the Potential cause of the abnormal DEXA scan in this patient? For which condition has trazodone been subscribed for this patient? Why is this patient taking cyanocobalamin IM?

What is the pathophysiologic mechanism for adrenal insufficiency in this patient? What is the Potential cause of the abnormal DEXA scan in this patient? For which condition has trazodone been subscribed for this patient? Why is this patient taking cyanocobalamin IM?

Essentials of Pharmacology for Health Professions

7th Edition

ISBN:9781305441620

Author:WOODROW

Publisher:WOODROW

Chapter26: Respiratory System Drugs And Antihistamines

Section: Chapter Questions

Problem 10CRQ

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