A 23-year-old woman is admitted to hospital with abdominal c…
A 23-year-old woman is admitted to hospital with abdominal cramps, epigastric pain, perfuse diarrhoea, fever, tiredness and weight loss. She is newly diagnosed with Crohn’s Disease. PMH Nil of note Medication History Paracetamol 1g QDS PRN (OTC) Ibuprofen 400mg TDS PRN (OTC) Allergies NKDA Social History Occupation: IT Technician in a busy secondary school Smoking History: 7 cigarettes per day Diet: varies depending on work and how much money she has. Doesn’t like cooking so often gets takeaways or ready meals. Drinking: 18 units per week (mainly at weekends) Weight: 66kg a) What are the possible triggers of this patient’s symptoms? (3 marks) Test Results Haemoglobin 9.0 (11.5 – 16.5g/dL) Red cell count 3.4 (4.0 – 5.8×1012/L) Packed cell volume 0.31 (0.37 – 0.47%) Mean cell volume 72 (76 – 100fL) b) What do the blood results show and how should they be managed? (2 marks)