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[Expert Solution]: Judi Morel is a 30-year-old economist with an…

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Judi Morel is a 30-year-old economist with an 8-year history of Crohn’s disease. Judi is 5 feet 7 inches tall. Nearly 3 years ago, she underwent a small bowel resection and remained free of active disease for 2 years. During that time, her symptoms subsided; she was able to tolerate most foods without any problem and gained weight. Ten months ago, Judi experienced a severe flare-up of her Crohn’s disease. Since that time, she has lost 15 pounds and currently weighs 118 pounds. She has experienced severe abdominal pain and fatigue that have persisted despite aggressive medical management that included intravenous nutrition. Five days ago, Judi underwent another resection, which left her with 40 percent of healthy small intestine. Her colon is intact. She is experiencing extensive diarrhea. 1. Describe the manifestations of Crohn’s disease, and explain why surgery is sometimes performed as part of the treatment. Describe the complications of disease that may affect nutrient needs. 2. Using the BMI table in the back of the book, check the ideal weight range for a person of Judi’s height. What nutritionrelated concerns are suggested by Judi’s recent weight loss? What other nutrition problems did Judi probably experience as a consequence of Crohn’s disease? 3. Discuss the complications that may follow an extensive intestinal resection. What factors may affect a person’s ability to meet nutrient needs with an oral diet? 4. Describe the dietary progression recommended after an extensive intestinal resection. After Judi is able to eat solid foods, what factors may affect the type of diet that is recommended for her?

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