Does this patient's case indicate the use of an immune-modulating ...

[big1devin]

Does this patient's case indicate the use of an immune-modulating formula?
 
  What will be an ideal response?

Question 2

What are the major risk factors for development of head and neck cancer? Does Mr. Seyer's medical record indicate that he has any of these risk factors?
 
  What will be an ideal response?

[wshriver]

Answer to Question 1

The most current evidence regarding EN and immune-modulating formulas in patients with pancreatitis suggests that these formulas should not be used in this situation. However, this decision will vary amongst different institutions and should ultimately be decided on an individual basis. A small-peptide-based, medium-chain triglyceride formula would be appropriate for Mr. Mahon.

Answer to Question 2

 Risk factors:
- Tobacco use
- Alcohol abuse (especially smoking and alcohol abuse in combination)
- Diet low in fruits and vegetables
- African American
- Environmental exposures (wood/nickel dust inhalation, sun, asbestos)
- Radiation to the head and neck
- Human papillomavirus
- GERD (chronic)

 Mr. Seyer's risk factors:
- Smoker
- HPV positive
- Reports daily consumption of alcohol
- Family history of cancer (Mother - liver cancer)
- Possible occupational hazards - contractor (wood dust inhalation, asbestos)

[big1devin]

Both answers were spot on, thank you once again

[wshriver]

Great! Please up vote