Case Study 2 - NUR 427 Example 2

Case Study 2 for the NUR 427 Course...

Patient information: A 21 year old Jewish-American presents to the emergency department with severe diarrhea and complaints of abdominal pain, decreased appetite for over two weeks and weight loss of 10lbs. The young Jewish man has no other medical problems and denies any family history other than an older brother that was diagnosed with Crohn’s when he has 20 years old. Currently, the young man is enrolled in college pursuing a career in criminal justice and did advise the emergency department staff of a learning disability. The young man requested that any information about his diagnosis should be put into writing so he can reference the information any time he has any questions. With that saying, I have provided informational facts about the disease and what a person just being diagnosed with the disease should know.

Crohn’s disease that affects more than 500,000 people in the United States is a chronic inflammatory disease that causes inflammation of the gastrointestinal tract. Crohn’s does can affect any area of the GI tract, from the mouth to the anus, but often affects the small intestines also known as the ileum. The inflammation causes abdominal pain and makes the intestines empty frequently causing severe diarrhea and also malnutrition.

Sign and symptoms of Crohn’s disease often range from mild to severe and also can have periods of remission. During the active phase the most common signs and symptoms include diarrhea, abdominal cramping, rectal bleeding, ulcers, reduced appetite, and weight loss. Other signs and symptoms include fever, fatigue, arthritis, eye inflammation, skin disorders and inflammation of liver or bile ducts. Diarrhea is the most common symptom due to the inflammation of the intestines that causes them to secrete a large amount of fluid and salt. Since the colon cannot absorb this extra fluid, the person develops severe diarrhea. Abdominal pain and abdominal cramping is caused the inflammation of the walls and eventually thickens the walls with scar tissue and leads to cramping. Mild Crohn’s causes moderate intestinal discomfort and in more severe cases, can cause nausea and vomiting. Blood...[continues]

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