Case #1: 12-year-old newly diagnosed female patient with CD, vaccines incomplete, severe weight loss and malnutrition. Discuss evidence based approach for treatment selection, IBD health maintenance focus on vaccination and nutritional rehabilitation.
Case #2: The above patient is in clinical remission with improved labs 3 weeks into nutrition therapy. Weight gain noted. Discuss evidence based approach for subsequent maintenance treatment choice, safety and efficacy of the existing therapies
Case #3: The above patient has been on treatment for 3 years. She develops abdominal pain and diarrhea for 2 weeks. Stools studies are negative and labs show slightly elevated CRP. No recent travel or antibiotics. Discuss evidence based approach for subsequent investigations, IBD vs IBS, therapeutic drug monitoring and subsequent intervention scenarios.