Chapter 072 Malnutrition and Nutritional Assessment (Part 2) ppt

... in adults and older children) and lack of response to skin test antigens (anergy). The prognosis of adult patients with full-blown kwashiorkor is not good, even with aggressive nutritional ... illnesses such as trauma and sepsis, and chronic illnesses that involve acute-phase inflammatory responses. The physiologic stress produced by these illnesses increases protein and ene...

Ngày tải lên: 07/07/2014, 01:20

... Chapter 072. Malnutrition and Nutritional Assessment (Part 1) Harrison's Internal Medicine > Chapter 72. Malnutrition and Nutritional Assessment Malnutrition and Nutritional Assessment: ... detecting, and treating malnutrition. Protein-Energy Malnutrition The two major types of PEM are marasmus and kwashiorkor. These conditions are compared...

Ngày tải lên: 07/07/2014, 01:20

... avoid assigning nutritional significance to tests that may be abnormal for nonnutritional reasons. Table 72-5 Laboratory Tests for Nutritional Assessment Test (Normal Values) Nutritional Use ... patient who is edematous and has easily pluckable hair and inadequate protein intake, the diagnosis of kwashiorkor is clear-cut. Commonly used laboratory tests for assessing nutriti...

Ngày tải lên: 07/07/2014, 01:20

... Modern Nutrition in Health and Disease , 10th ed. Baltimore, Lippincott Williams & Wilkins, 2005 Chapter 072. Malnutrition and Nutritional Assessment (Part 7) Assessment of Circulating ... increased dermal losses of protein may not indicate malnutrition. On the other hand, adequate nutritional support of the patient's calorie and protein needs is cr...

Ngày tải lên: 07/07/2014, 01:20

... infections such Chapter 072. Malnutrition and Nutritional Assessment (Part 3) Physiologic Characteristics of Hypometabolic and Hypermetabolic States The metabolic characteristics and nutritional ... kwashiorkor seen in developing countries. Metabolic Rate In starvation and semistarvation, the resting metabolic rate falls between 10% and 30% as an adaptive resp...

Ngày tải lên: 07/07/2014, 01:20

... an underlying illness does not necessarily indicate malnutrition. Chapter 072. Malnutrition and Nutritional Assessment (Part 4) Protein Catabolism The rate of endogenous protein breakdown ... life-threatening. Nutritional Assessment Because interactions between illness and nutrition are complex, many physical and laboratory findings reflect both underlying diseas...

Ngày tải lên: 07/07/2014, 01:20

... Chapter 072. Malnutrition and Nutritional Assessment (Part 5) Nutritional History A nutritional history is directed toward identifying underlying mechanisms that put patients at risk for nutritional ... drop, and decreased tendon reflexes, fine tactile sense, vibratory sense, and position sense) Thiamine, pyridoxine, vi tamin B 12 Pyridoxine Tetany Cal...

Ngày tải lên: 07/07/2014, 01:20

... in the legs, an imbalance of muscle tone, and a tendency to circumduct and scuff the feet. The disorder reflects compromise of corticospinal command and overactivity of spinal reflexes. The patient ... tone in the adductors. Upper motor neuron signs are present on physical Chapter 024. Gait and Balance Disorders (Part 2) Disorders of Gait The heterogeneity of gait disor...

Ngày tải lên: 06/07/2014, 13:20

... detectable distant metastases in the future. Chapter 084. Head and Neck Cancer (Part 2) Clinical Presentation and Differential Diagnosis Most head and neck cancers occur after age 50, although ... physical examination should include inspection of all visible mucosal surfaces and palpation of the floor of mouth and tongue and of the neck. In addition to tumors them...

Ngày tải lên: 07/07/2014, 01:20

... .4 5 0 25 31– 50 y 00 5 5 0 .1 .1 4 .3 00 i .4 5 0 25 Chapter 070. Nutritional Requirements and Dietary Assessment (Part 2) Water For adults, 1.0–1.5 mL water per kcal of energy ... body water and blunted thirst sensation, and may be taking diuretics. Other Nutrients See Chap. 71 for a detailed description of vitamins and trace minerals. Dietary Reference Int...

Ngày tải lên: 07/07/2014, 01:20