Chapter 072 Malnutrition and Nutritional Assessment (Part 3) pps

... 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 re...

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

... 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

... 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 ... When possible, oral or enteral nutritional support is preferred; treatment started slowly allows readaptation of metabolic and intestinal functions (Chap. 73). Kwashiorkor complication...

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

... 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

... nerves and nerve roots. Sitting stretches the sciatic nerve (L5 and S1 roots) because the nerve passes posterior to the hip. The femoral nerve (L2, L3, and L4 roots) passes anterior to the hip and ... spine disease. Hip pain can be reproduced by internal and external rotation at the hip with the knee and hip in flexion (Patrick sign) and by tapping the heel with the examiner...

Ngày tải lên: 06/07/2014, 08:20

... Chapter 033. Dyspnea and Pulmonary Edema (Part 3) Differential Diagnosis Dyspnea is the consequence of deviations ... the ventilatory pump (the bones and muscles that form the chest wall, the airways, and the pleura); and the gas exchanger (the alveoli, pulmonary vasculature, and surrounding lung parenchyma). ... breathing and by stimulating pulmonary receptors if...

Ngày tải lên: 06/07/2014, 15:21

... 1 8 1 1 4 Chapter 070. Nutritional Requirements and Dietary Assessment (Part 3) Note: This table presents recommended dietary allowances (RDAs) in bold type and adequate intakes ... α-tocopherol that occurs naturally in foods, and the 2R-stereoisomeric forms of α-tocopherol (RRR-, RSR-, RRS-, and RSS-α-tocopherol) that occur in fortified foods and supplem...

Ngày tải lên: 07/07/2014, 01:20