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Cаse Study # 2GS is а 25 yо wоmаn whо was recently diagnosed with celiac disease. She was admitted to the hospital with severe weight loss, extreme fatigue, and diarrhea. A small bowel biopsy reveals a diagnosis of celiac disease with secondary malabsorption. She states, I have lost a tremendous amount of weight, and I have been having terrible diarrhea for awhile now. I don t even have the energy to get off the couch right now. She recently delivered a 5 lb 2 oz healthy son at 39 weeks gestation. She states that she gained 11 lb during this pregnancy but has since lost about 30 lb. She now weighs 92 lb. Her greatest non-pregnant weight was 112 lb just prior to this pregnancy. She started out breastfeeding her son but stopped 3 weeks ago because she felt so bad. She is 5'3" tall. How is celiac disease related to damage in the small intestine that caused her to be diagnosed by an intestinal biopsy? Why is celiac disease not just a disease of the small intestine?
Cаse Study # 2GS is а 25 yо wоmаn whо was recently diagnosed with celiac disease. She was admitted to the hospital with severe weight loss, extreme fatigue, and diarrhea. A small bowel biopsy reveals a diagnosis of celiac disease with secondary malabsorption. She states, I have lost a tremendous amount of weight, and I have been having terrible diarrhea for awhile now. I don t even have the energy to get off the couch right now. She recently delivered a 5 lb 2 oz healthy son at 39 weeks gestation. She states that she gained 11 lb during this pregnancy but has since lost about 30 lb. She now weighs 92 lb. Her greatest non-pregnant weight was 112 lb just prior to this pregnancy. She started out breastfeeding her son but stopped 3 weeks ago because she felt so bad. She is 5'3" tall. Refer to Case Study # 2GS ate the following list of items one day when she was feeling well. Identify the items she should be concerned about and suggest a reasonable alternative for her for each of the items you identify.CornflakesSkim milkBologna slices Cheddar cheese spreadRice crackersCoffeeGreen bean casserole (mushroom soup, onions, green beans)Fruit cocktailLean Cuisine meal - Beef tips on riceSugar PuddingV8 juiceBananaCola