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CASE 5. Mr. Peebles (65 years old) stated that he had Stage II lymphoma. a. What does Stage II mean, and how might this have been diagnosed? b. What type of cancer is lymphoma? c. What classic signs and symptoms of lymphoma might he present with at clinic? d. Mr. Peebles’ medical plan indicates that she will have both chemotherapy and radiation therapy. Describe how each of these therapy modalities work to treat malignant cells. e. What symptoms may the patient experience as a result of these treatment modalities? f. What are the nutritional implication of Stage II lymphoma? In your words, indicate how you would assess and manage these nutritional Issues. g. Recently glutamine has been a component of several clinical trials to reduce gastrointestinal complications of both chemo and radiation therapy. What is glutamine? What is the rationale for its use?
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