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    A Diversity of Guts Case Studies PDF

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    Sharmila Chakraborty
    John is experiencing severe abdominal pain and tenderness. He has a high white blood cell count and fever. [He likely has appendicitis, which is inflammation of the vermiform appendix, a tubular structure located in the lower right portion of the abdomen. Common causes for appendicitis include obstruction of the appendix by a fecalith. For a less severe case, antibiotics may be prescribed, while a more severe case may require surgery to remove the appendix.]

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    A Diversity of Guts Case Studies PDF

    Uploaded by

    Sharmila Chakraborty
    102 views4 pages
    John is experiencing severe abdominal pain and tenderness. He has a high white blood cell count and fever. [He likely has appendicitis, which is inflammation of the vermiform appendix, a tubular structure located in the lower right portion of the abdomen. Common causes for appendicitis include obstruction of the appendix by a fecalith. For a less severe case, antibiotics may be prescribed, while a more severe case may require surgery to remove the appendix.]

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    John is experiencing severe abdominal pain and tenderness. He has a high white blood cell count and fever. [He likely has appendicitis, which is inflammation of the vermiform appendix, a tubular structure located in the lower right portion of the abdomen. Common causes for appendicitis include obstruction of the appendix by a fecalith. For a less severe case, antibiotics may be prescribed, while a more severe case may require surgery to remove the appendix.]

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    102 views4 pages

    A Diversity of Guts Case Studies PDF

    Uploaded by

    Sharmila Chakraborty
    John is experiencing severe abdominal pain and tenderness. He has a high white blood cell count and fever. [He likely has appendicitis, which is inflammation of the vermiform appendix, a tubular structure located in the lower right portion of the abdomen. Common causes for appendicitis include obstruction of the appendix by a fecalith. For a less severe case, antibiotics may be prescribed, while a more severe case may require surgery to remove the appendix.]

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    A Diversity of Guts Case Study #1

    The Vertebrate Digestive System

    A. John is a 27 year old male who begins to experience stomach pain while mowing
    his yard. The cramping and pain seem to be located near his belly button and the right
    lower quadrant of his abdomen but he can’t say for sure. Over the past 48 hours he
    experienced loss of appetite, bloating, pain and constipation. Mowing the yard however
    has caused the pain to go from mild to severe. John decides to ask his friend to drive him
    to the hospital. Once at the hospital John is assessed by the medical team. His
    bloodwork shows a high white blood cell count, his temperature is 37.8​℃​. Pain and
    tenderness continues to affect his abdomen and clinically John is experiencing rebound
    tenderness. John has no history of gastrointestinal disorders.

    a. What do you believe is wrong with John?

    b. What anatomical region of the gastrointestinal tract that is affected?


    Where is it found and what is its shape?

    c. What are common reasons for inflammation in this region?

    d. What methods of treatment are most commonly used for patients like
    John? Treatments vary based on the severity of the case. Describe one
    treatment for a less serious case that was caught early and a treatment for a
    patient with a more serious case.
    A Diversity of Guts Case Study #2
    The Vertebrate Digestive System

    In the case study below you will explore the causes of B12 deficiency in three
    patients.

    A. Patient A is a college student who has become increasingly tired over the last six
    months. She thought it was because of her tough schedule but since she noticed tingling
    in her feet, she thought she should see a doctor. Patient A also has hyperparathyroidism,
    an autoimmune disorder that affects 100,000 people in the U.S. every year. She is not a
    vegetarian and eats milk, eggs and meat - all great sources of B12. The doctor ran some
    blood work and found very low levels of B12. The patient also had parietal cell
    antibodies present in her blood.
    a. What do you think is the cause of her B12 deficiency? Why is her body not able
    to absorb the necessary B12?

    b. What is the treatment and prognosis for this patient?

    B. Patient B had gastric bypass surgery three years ago. He is a vegetarian and sees
    a nutritionist who ensures his diet is adequate to meet his nutritional needs.
    Despite this, on a recent trip to his doctor, his blood work showed declining
    levels of vitamin B12.
    a. Why does this patient have low B12 even though his diet should be providing
    enough?

    b. Why didn’t Patient B have low B12 until three years after surgery?

    C. Patient C suffers from Crohn’s disease and had a 60 cm terminal ileal resection 4
    months ago.
    a. What is a terminal ileal resection?

    b. What is Crohn’s disease and what complication led to the need for an ileal
    resection?

    c. What is absorbed by the ileum?

    d. Will amino acid and glucose uptake be affected by the ileal resection?
    Explain.

    e. What is the treatment and prognosis for this patient to ensure she receives
    necessary nutrition?
    A Diversity of Guts Case Study #3
    The Vertebrate Digestive System

    Talbia went into labor early for unknown reasons and gave birth to a baby boy at 32
    weeks. While in the neonatal intensive care unit (NICU) the baby received parenteral
    nutrition to prevent ​necrotizing enterocolitis, a disease common in preterm babies with
    20% to 50% morbidity.

    A. What is parenteral nutrition? How it it administered?


    B. What is enteral nutrition? How it is administered?
    C. What is necrotizing enterocolitis?

    Use the journal article below to answer the following questions and better understand the
    development of the gastrointestinal tract in preterm babies.

    Neu, Josef. "Gastrointestinal development and meeting the nutritional needs of premature
    infants." ​The American journal of clinical nutrition 85.2 (2007): 629S-634S.

    D. Describe three reasons why enteral nutrition is not used as a primary feeding
    method for Talbia’s baby.
    A. How does the gastrointestinal tract physically change in the last trimester of
    pregnancy?
    A. Beyond nutrition, what are three major functions of the gastrointestinal tract in
    infants?
    A Diversity of Guts Case Study #4
    The Vertebrate Digestive System

    Liz recently relocated her young horse from Illinois to a small boarding farm in Wake
    County, North Carolina. Her horse is a cribber and it known to bolt its feed. Since its
    relocation the horse has been acting unusual and although Liz first thought it was related
    to the relocation, she now believes it something more serious. Symptoms include loss of
    appetite, repeated stretching, yawning, bloating, and abdominal distention. An
    abdominal ultrasound was performed and it was noted that the horse had fluid build up in
    its small intestine. The horse was provided fluids via a nasogastric tube and mineral oil
    was prescribed by the veterinarian.

    A. What was the diagnosis for Liz’s horse? How common is this diagnosis?

    B. What is happening anatomically that is causing discomfort in horses with this


    diagnosis?

    C. Why was surgery not necessary for Liz’s horse?

    D. Pysllium fiber is often added to feed for horses that live in sandy areas. What is
    the function of the pysllium fiber?

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