RD is a 29 yo F admitted with intractable diarrhea and abdominal pain. She has a PMH of Crohn's disease and has had two previous resections of the small bowel. She frequently has pain in the RLQ after eating. She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming below her caloric needs. She currently takes Asacol and Lomotil to manage the symptoms of
Crohn's disease. After undergoing a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered. Emergency surgery was performed to remove the obstruction and a resection was done with the remaining intestine. RD's gastroenterologist recommends bowel rest and expects her to have a full recovery. HT: 5'4" WT: 110# UBW: 122# Diet: NPO Meds: Asacol, Lomotil Alb. 2.7 Pre-Alb. 17 Na: 138 Cl: 98 BUN: 5 Glucose: 80 K: 3.6 CO2: 25 Cr: 0.8 Which condition would most likely place RD at risk of folate deficiency?
a. anorexia
b. healing after surgery
c. medication use
d. high-volume diarrhea
e. blood loss
c
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