...#110 Disease of the Digestive System Crohn’s Disease Dr. Juliet Durant Cameron Palmer March 3rd, 2011 Lab Instructors Ashley Simpson Crohn’s disease is an ongoing disorder that causes inflammation of the digestive tract, also referred to as the gastrointestinal (GI) tract. Crohn’s disease can affect any area of the GI tract, but it most commonly the ileum of the small intestine. The swelling extends deep into the lining of the affected organ and can cause pain; in addition to making the intestines empty frequently, resulting in diarrhea. Crohn’s disease (also referred to as ileitis or enteritis) is an inflammatory bowel disease, the general name for diseases that cause swelling in the intestines. Because the symptoms of Crohn’s disease are similar to other intestinal disorders, such as irritable bowel syndrome and ulcerative colitis, it can be difficult to diagnose. Ulcerative colitis causes inflammation and ulcers in the top layer of the lining of the large intestine. In Crohn’s disease, all layers of the intestine may be involved, and normal healthy bowel can be found between sections of diseased bowel. Crohn’s disease affects men and women equally and seems to run in some families. Crohn’s disease can occur in people of all ages but is more often diagnosed in people between the ages of 20 and 30. People of Caucasian decent have an increased risk of developing Crohn’s disease, and African Americans are at decreased risk for developing Crohn’s disease. Several...
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...Part A Crohn's disease Crohn’s disease a chronic inflammatory disease of the intestines, especially the colon and ileum, associated with ulcers and fistulae. Chromosomes affected When you eat food, your body gets the nutrients like protein, which keeps your body healthy. When your gastrointestinal tract processes the food it keeps the nutrients and gets rid of any waste. The gastrointestinal tract is the series of organs from the mouth to the anus. When you have Crohn's disease, your body's immune system begins attacking healthy cells in your gastrointestinal tract causing inflammation. Crohn’s is a disease in the immune system causing your body to produce antibodies that work against it’s self. (Crohn’s disease. Andy Abril, Copyright March 2013. http://www.mayoclinic.org/diseases-conditions/crohns-disease/basics/symptoms/con-20032061) Unfortunately, no one knows exactly what causes Crohn's, just that something in your body causes your immune system to overreact. It cause inflammation, irritation, or swelling in the gastrointestinal tract. The disease mainly affects the same intestine. Causes of the Disorder...
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...Mandy Adams Crohn’s Disease Crohn’s disease is an inflammatory bowel disease that causes inflammation of the digestive tract. It usually affects the lower part of the small intestine and can cause pain and diarrhea. This disease can be difficult to diagnose. Crohn’s disease is usually inherited. A person is thirty times more likely to be diagnosed if a family member has it. It is mostly diagnosed in people between the ages of twenty and thirty. The white blood cells that accumulate in the lining of the intestines causes Crohn’s disease. They produce chronic inflammation which leads to ulcerations and bowel injury. People that have Crohn’s disease are found to have high levels of a protein called tumor necrosis factor (TNF) that is produced by the immune system. The earliest, most common symptoms of Crohn’s disease are abdominal pain and diarrhea. Rectal bleeding, arthritis, or skin problems are also possible. Bleeding could be severe enough to cause anemia. Some people may have blood clots or swelling in the legs. Another symptom is episderitis which is inflammation in the white part of the eye or uveitis, which is inflammation of the interior portion of the eye and can cause vision loss if untreated. Osteoporosis and clubbing, which is a deformity of the fingertips, is also possible. Crohn’s disease causes a decrease in appetite sever enough to be deficient in vitamins and proteins. This also causes malnutrition and malabsorption. A fever may be present, but if it is...
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...Crohn’s Disease is a condition suffered by many young men and women all around the world. Though more prevalent in Northern US and Canada, the disease has found its way to the farthest reaches across the globe. It is found more commonly in females and presents ages 20-30 years, though not strictly. The disease is a type of inflammatory bowel disease and can affect any part in the gastrointestinal tract. Once known as auto immune, it is now classified as immune deficiency. No cure has been found, but researchers work diligently to reduce the effects throughout a Crohn’s patient’s life. Crohn’s Disease was given its name in 1932 by gastroenterologist Dr. Burrill B. Crohn, whom it was respectively named after. Previous to this, many cases appeared and recorded as early as 1682 which was when the first description of the condition was made by the Italian physician Giovanni Battista Morgagni. It was described as “…a young man with a chronic, debilitating illness and diarrhea” (Bellany, 2005). Since then, more and more cases have arrived and continues to effect thousands of people worldwide. This condition falls under a medical category known as Inflammatory Bowel Diseases or IBD. The two main forms of IBD are Crohn’s Disease and ulcerative colitis. While very similar and often confused with one another, they have many different, as well as common symptoms. Less common forms are known as collagenous colitis, lymphocytic colitis and Behcet’s disease. Crohn’s Disease...
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...Crohn's Disease Nicole DeMase Health and Chronic Management Nur 427 December 6, 2010 Tiffany Fitch, MSN, FNP-C Crohn's Disease 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...
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...Introduction Crohn’s disease is a severe form of Irritable Bowel Syndrome (IBS). This disease process affects the digestive system, but most commonly irritates the ileum of the small intestine. Because the majority of Crohn’s patients are affected in the ileum, this disease is also called ileitis. Crohn’s disease causes inflammation, swelling, and irritation of the GI tract, which could lead to a loss of function of the intestine (Ford-Martin, Norris, & Newton, 2009). Though disease can affect any part of the digestive tract, it can often affect the last part of the small intestine and the first part of the large intestine. It is a disease that will have periods of no symptoms, and periods where the disease flares up. Crohn’s is known as a pangastrointestinal disease and is notorious for recurrences, which can develop in any segment of the gastrointestinal tract (Chandra & Moore, 2011). Symptoms Symptoms of Crohn’s disease are abdominal pain and cramping, and diarrhea that sometimes occur ten to twenty times a day. The diarrhea will sometimes contain blood. Other symptoms are unexplained weight loss, fistulas between organs, mouth sores, bowel blockages, or anal fissures (Ford-Martin, Norris, & Newton, 2009). People with this disease may not always experience...
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...Crohn’s disease is in a class of conditions known as Inflammatory Bowel Diseases (IBD). It can also called ileitis, but Crohn’s disease is only a type of ileitis. Its origin began in the 1930s, and was named after Burrill B. Crohn (1884–1983), an American pathologist, who was among the first to describe it. It may affect as many as 700,000 Americans. Both men and women are equally likely to be affected, and although the disease can occur at any age, Crohn's is more frequent among adolescents and young adults between 15 and 35. Crohn’s is a chronic inflammatory disease affecting the small intestine and the start of the large intestine. However, the disease can affect any part of the GI tract, from the mouth to the anus. Crohn’s disease...
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...As inflammation spreads, the lumen of the intestine narrows, an obstruction can develop, and abscess frequently form. 11. This question has two parts. a. Who does Crohn’s disease usually affect? Crohn’s disease usually affects white adults age 20 to 40, and two to three times more common among Ashkenazi jews. b. Describe the treatment for Crohn’s disease. The treatment for Crohn’s disease is with anti-inflammatory medications and with immunosuppressive agents. Surgery is performed to correct complications such as obstruction, perforation, or massive hemorrhage. Ileostomy is necessary if the large intestine has been severely damaged. 12. What are the symptoms of chronic ulcerative colitis? Typical symptoms include diarrhea with pus, blood, and mucus in the stools and cramp-like pain in the lower abdomen. 13. What are the possible causes of hemorrhoids? The possible causes of hemorrhoids include heredity, poor dietary habits, inadequate fiber, overuse of laxatives, and lack of exercise. 14. What are the risk...
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...<Crohn’s Disease affects roughly 500,000 to two million people in the United States ("Medicinenet.com", 1996-2012). Men and women both are affected likewise. Americans of Jewish European descent are four to five times more likely to get Crohn’s Disease than the general population. Crohn’s Disease traditionally has been a disease of Caucasians, but recently there has been a rise in registered cases the African American community. The dominance seems to have dropped in the Hispanic and Asian populations and communities. Crohn’s Disease mostly starts during adolescence and continues through early adulthood (typically between the ages of 15 and 35). There is a slight second peak of newly diagnosed cases after age 50. <The occurrence rates among Hispanics and Asians are at a decreased level than those for Caucasians and African Americans. A study in Puerto Rico examined hospitalization rates for African Americans. The commonness for African Americans was verified as 41.4 per 100,000 for Crohn's Disease ("Crohn's & Colitis Foundation of America", 2009). An 11-year study of incidence rates of pediatric Crohn’s Disease in one state study pointed out rates doubled for Crohn’s from 1991 to 2002 ("Crohn's & Colitis Foundation of America", 2009). In this study Caucasians had a greater occurrence of Crohn’s Disease (4.15 per 100,000); African Americans (1.83 per 100,000) and Hispanic populations (0.61 per 100,000) ("Crohn's & Colitis Foundation of America", 2009). Continuing...
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...Madisyn Witfield Living with a chronic disease for anyone is a difficult way to live your life. Most of us worry about simple bills like phone, cable, and internet. People living with a chronic disease often have to worry about high health insurance premiums, or take the chance of not having insurance at all. We do not choose to be born with an illness, deformity, or a disease, but there are companies and organizations out there that are willing to help. You do not need to struggle in life with medical bills that burden you from obtaining a higher education. Background Crohn’s Disease (CD) affects around 700,000 Americans (CCFA 2012). It doesn’t discriminate between male or female, and is found evenly in both sexes. It is a chronic inflammatory condition of the digestive tract, and can occur anywhere in the digestive tract, from the mouth on down. It mainly affects the lower part of the small intestine. There is currently no cure for CD, but there are many medical treatments and surgical options available to relieve symptoms. CD can occur at any age, but is most prevalent in adolescent to young adults from age 13-35 (CCFA 2012). General symptoms that are associated with Crohn’s Disease are fever, loss of appetite, weight loss, fatigue, night sweats, and in women, loss of normal menstrual cycle. CD is a chronic disease, which means that people afflicted with this type of disease experience periods of flare-ups followed by periods of remission, where they might not experience...
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...Crohn’s disease occurs when there is an extensive amount of inflammation throughout the gastrointestinal tract. It can occur throughout any section, but most often found in the ileum and the colon. (Steinhart, 2006) The most common symptoms are chronic diarrhea, abdominal pain, sudden weight loss, loss of appetite and fever (Military Medical, 2013). The symptoms vary from person to person, given that the symptoms are dependent on the location of the Crohn’s disease (Steinhart, 2006). The symptoms develop in three different patterns. Generally, the symptoms develop gradually, in either weeks, months and sometimes years. Patients may develop symptoms over a certain period of time, then they can disappear randomly. The relapsing symptoms causes...
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...Barbara is suffering from Regional Enteritis which is also referred as Crohn’s disease. Crohn’s disease is an inflammatory bowel disease that can affect any area of the digestive tract from the mouth to the anus. Since there has not been any diagnosis made, the diagnosis that I would offer is to request lab tests and x rays to determine if the disease seems to appear in Barbara’s body. The types of test that I would run are barium x rays and other x rays for showing where and how severe Crohn's disease is. It’s helpful for finding any problems in parts of the small intestine that can't be easily viewed by other techniques. CT scans for usage of computer-aided X-ray techniques to produce more detailed images of the abdomen and pelvis than can be seen in traditional X-rays, colonoscopy or sigmoidoscopy to allow for to directly viewing the large intestine, which is the lower part of the digestive tract , and a video capsule endoscopy in which Barbara will swallow a small capsule or pill that holds a miniature video camera. As it travels through her small intestine, it sends images of the lining to a receiver in which she will wear a belt around her waist. The images are downloaded and reviewed at a computer. The images can provide detailed information about early, mild problems associated with Crohn's disease. When Crohn’s disease is diagnosed after the tests are completed being that there is no cure for Crohns disease, I have various ways to treat it such as prescribing medications...
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...Crohn’s disease is a very serious and underrated disease. There is not much awareness about this disease; however it affects thousands of people a year. Crohn’s disease is an inflammatory bowel disease, (IBD), named after an American gastroenterologist, Dr. Burill B. Crohn. This debilitating disease was further investigated by Dr. Crohn when an Italian physician Giovanni Battista Morgagni in 1969 diagnosed a young man with chronic diarrhea. Because of its symptoms, Crohn’s disease is often misdiagnosed, and conditions for patients only become worse. In 1913, Scottish physician T. Kennedy Dalziel reported nine cases in which patients were suffering from intestinal obstructions. This physician closely examined the patients inflamed bowel and found a characteristic of Crohn’s as describe by Dr. Crohn. The bowel had transmural inflammation with abdominal cramps, fever, diarrhea, and weight loss. This disease was affecting typical young adults in the 1920’s and 1930’s. After several other findings reportedly being documented, Dr Crohn and his colleagues presented a paper on terminal ileitis describing the symptoms and findings of Crohn’s disease to the American Medical Association on May 13, 1932. The findings were given significant recognition, making it the fist time this condition was familiarized with the public in a widely-read journal. Crohn’s disease, also known as granulomatous enteritis and colitis, is an inflammatory disease that can affect any part of the gastrointestinal...
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...Personal Impact Paper Addonica Jackson NUR/427 July 8, 2014 Debra Ayer Personal Impact Paper Crohn's disease (CD) is a chronic inflammatory bowel disease affecting any part of the gastrointestinal tract from the mouth to the anus, although the ileum, colon and perineum are most commonly involved (Hart, A. & Ng, S., 2011). CD is more widespread among adolescents and young adults between the ages of 15 - 35. According to Mayo Clinic Staff, "Researchers believed that a number of factors, such as heredity and a malfunctioning immune system, play a role in the development of Crohn's disease." In CD the patient develops inflammation to the wall of the bowel that causes scarring or the inflammation can penetrate through the wall of the bowel and causes a fistula. Some symptoms of CD are persistent diarrhea, abdominal pain and cramps, rectal bleeding, decrease appetite, weight loss and constipation. In order to protect the patient's privacy I will use the initial AJ. I obtained verbal permission from AJ and her mom to interview her. I chose CD because over the past 6 months I have seen the great financial, personal and social impact CD has on AJ and her family. This paper will also address AJ's learning process and educational experience regarding CD. It will also outline the change motivators AJ used and recommend theories of learning and motivation. AJ, a 21 year old nursing student was experiencing frequent bouts of abdominal pain, loose stool and hyperactive bowel...
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...at home with her spouse and has a few friends she sees on a regular basis. The patient states she has never smoked, nor has she ever drunk alcohol and no one in the house does either. She does consume 3-4 diet pops a day that contain caffeine. The patient states she has no medical training or knowledge other than the conditions, which she has a history of. She seems to have memory deficits of unknown etiology and very high anxiety issues with very high dependency or separation issues (needing someone near her at all times and demanding). The patient’s medical history consists of kidney stones, urinary tract infection (UTI), high cholesterol, irritable bowel syndrome, diabetes mellitus (Type 1), acid reflux, allergic rhinitis, addison’s disease, osteoporosis, osteopenia, anxiety, and depression. She has a surgical history of: cholecystectomy, colonoscopy, liver biopsy, and hysterectomy. After asking the patient how she learns best, she states “I learn better with a hard copy and someone going over the information me and my husband.” Also assessed were her needs. The acute stage she needs IV access, pain meds, a strict diet of nothing by mouth or minimum, sips of water, IV fluids for dehydration, glucose control, urine sample, stool sample. The next stage of care would most likely consist of a gastroenterologist consult, x-ray (abdomen), CT scan (abdomen), colonoscopy, gastroscopy, and eventually a...
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