Question

34 yo F is hospitalized for a small bowel resection due to multiple strictures. 10 year history of Chron's. Hx also sig for provoked pulm embolism. Caprini risk score is 6.Most appropriate management?

Answer 1

The patient should be managed with prophylactic anticoagulation therapy due to their high Caprini risk score and the increased risk of thromboembolic events associated with Crohn's disease and surgery.

Step-by-step explanation:

The most appropriate management for a 34-year-old female with a 10-year history of Crohn's disease who is hospitalized for a small bowel resection due to multiple strictures and who also has a history significant for a provoked pulmonary embolism with a Caprini risk score of 6 would be the initiation of prophylactic anticoagulation therapy. Patients with inflammatory bowel disease, such as Crohn's, are at an increased risk for thromboembolic events, and the Caprini risk score is designed to assess this risk in surgical patients. With a score of 6, this individual is considered to be at a high risk for venous thromboembolism, and guidelines recommend preventive measures, such as the use of low molecular weight heparin or similar anticoagulants.