Tom is a 19-year-old Caucasian male with a 3-year history of ileal ( 15 cm of the small bowel) and rectal/anal Crohn’s disease. Initially diagnosed three years ago, he was prescribed 5 -aminosalicyllic acid (5-ASA) and nutritional therapy. In the past year, he stopped responding well to this therapy and has been managing at home with his parents with intermittent cycles of corticosteroids (e.g., prednisone 50 mg po daily) to manage exacerbations of the disease. He has been unable to work very much at the hardware store or go to school. Today Tom presented to the ER with symptoms of non-bloody, non-biliary (bile) emesis (vomit), crampy abdominal pain in the RLQ and LLQ, diarrhea, fatigue, and a 6 kg weight loss in the past 6 months. His weight is 50.9 kg , and his BMI is 18.7. His temperature is elevated (37.9C), and there is a swollen, raised, reddened area near the anus. His lab work is as follows: table[[WBC count
[Verified Answer]: Tom is a 19-year-old Caucasian male with a…
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