John Franks MF3 Gastroenterology and Nutrition
Activity
Tutorial
John Franks is a 66-year-old male with a complicated course of Crohn’s disease over 30 years, requiring multiple surgical resections of his small bowel due to inflammation and obstruction. He has been treated with several immunosuppressive and biological treatments for his IBD, but has had a loss of response to these medications despite some temporary improvement in his disease activity. Despite currently being on ustekinumab (Stelara), John has had evidence of active disease and is currently on a tapering course of prednisone for a recent flare of his IBD. He was recently admitted to hospital with another partial small bowel obstruction and he is worried that he may need further surgery. "They’ve removed so much of my small intestine already that I am worried that I’m going to get short bowel syndrome." You discuss optimizing his dosages of his treatments in an attempt to induce remission of his disease, and to avoid the need for further surgery. He asks: "If I do have short bowel syndrome, what kind of special diet will I need to go on to maximize my nutrition?"

Curriculum Block

Gastroenterology and Nutrition / Medical Foundation 3 / Part 3 / Week 3
- Indicates most relevant

Objectives

General Objectives
Global Objectives

Assessments

Mid-Unit Tutorial Assessment
End-Unit Tutorial Assessment
Concept Application Exercise (CAE)

Tags

Basic Sciences
Nutrition
Curriculum Block
Gastroenterology and Nutrition Medical Foundation 3 Part 3 Week 3
Curriculum Week
Part 3 Week 3
Discipline
Gastroenterology Nutritional Sciences
Longitudinal Discipline
Immunology
MCC Presentations
Chronic Diarrhea
McMaster Program Competencies
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
MeSH
Crohn Disease [C06.405.205.731.500] Diarrhea [C23.888.821.214] Inflammatory Bowel Diseases [C06.405.205.731] Intestinal Obstruction [C06.405.469.531] Malabsorption Syndromes [C06.405.469.637] Nutrition Therapy [E02.642] Prednisone [D04.808.745.432.719.702] Short Bowel Syndrome [C06.405.469.637.832]