The caregiver of a child diagnosed with celiac disease tells the nurse that the child has large amounts of bulky stools and what looks like fat in his stools. the clinical manifestation this caregiver is describing is:

The answer to this question is that the caregiver is describing steatorrhea.

Steatorrhea is a situation where an excess amount of fat is seen in the stool. Steatorrhea shows a malabsorption in a person’s body and a patient may experience abdominal cramps, diarrhea, indigestion, and weight loss which are the commong symptoms of having steatorrhea.  

Grilled ham and cheese sandwich: caution: if you’re underaged then have a responsible adult supervising you to prevent any injuries.1. preheat a pan or griddle over medium heat. spread each bread slice with mustard — crust to crust is a must to get full coverage so that each bite is identical. if you don’t like mustard then use whatever else you like.2. use a trio of cheeses in a grilled cheese to achieve perfect harmony: 1 slice of american cheese for gooeyness, 1 slice of aged cheddar for sharpness and 1 slice of provolone or mozzarella for stringiness. if you don’t like these cheeses then use whatever else you like.3. ribbon your meat onto your sandwich to create dramatic height and a smoother bite down. don't just lay the meat flat — it makes for a flat sandwich.4. add anything else you'd like to the sandwich — (just make sure you season them with a bit of salt and 5. spread mayo on the outside of a grilled cheese before it goes into the pan or onto the griddle, which ensures that it will be perfectly golden brown every time.6. place on the griddle; dome your grilled cheese with a metal bowl to create a vortex of heat and ensure the cheese melts without over-toasting the exterior for a maximum of 3 minutes. flip, cover again and cook until the cheese is melted and the sandwiches are golden brown for a maximum of 3 minutes. hope this : )

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