Help with post op bypass patient

[Guest guest]

Hi!

I have a post op patient who had Gastric Bypass in November 2011. She had complications with N/V/D in January and was readmitted for hydration, EGD which found 2 marginal ulcers, and then a subsequent LUE DVT, and CDiff colitis.

She now present with loss of memory, loss of balance, difficulty writing her name, and still was some nausea and vomiting, abd pain. The surgeon ordered labs all which were pretty unremarkable other than a K of 3.5 and some elevated LFT's and T Bili. He ordered an abd CT that is pending. Although a previos abd CT was negative. B12, iron, Folic acid were all normal, still waiting on serum thiamin.

Just wondering if there is anything else I shoudl recommend as far as labs ? Or any other insights about this case?

Thanks for your input,

Cheryl Frushour, RD,LDN,CNSC

Care Specialist Bariatric Surgery

Meritus Health

Cheryl.Frushour@...