Vitamin and Mineral Deficiencies

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  1. Zinc
    • Rash over mucocutaneous junctions.
    • Alopecia
    • Diarrhoea
    • Wt loss
    • Increased infections
  2. Thiamine (B1) (wernickes)
    • Wenicke's Encephalopathy =
    • Confusion,
    • Opthalmoplegia,
    • Ataxia,
    • Nystagmus.
    • COAN
  3. Thiamine (B1) (dry beri beri)
    • A peripheral neuropathy (from the original sinhalese, 'weak, weak'):
    • Difficulty walking
    • Tingling\loss of sensation in feet
    • Loss of muscle function\wasting
    • pain
    • vomiting
  4. Thiamine (B1) Wet beri beri
    • A cardiovascular presentation (from the arabic 'bhur-bhari', 'sailors asthma'): Basically just CHF
    • Peripheral oedema
    • PND\Orthopnoea
    • Cardiomegaly
    • Pleuraleffusions and ascites
  5. Niacin
    • The 3 d's of Pellagra:
    • Dermatitis
    • Diarrhoea
    • Dementia (confusion)

    Often occurs in people whose diet consists mainly of maize.
  6. Vitamin D deficiency (1-25 cholecalciferol)
    Can becaused by decreased exposure to sunlight (muslim women), liver or renal failure (deficit in synthesis):

    • Bone pain
    • Proximal myopathy
    • Pelvic x-ray shows looser's zones
Card Set:
Vitamin and Mineral Deficiencies

How would a patient present with each of the following deficiencies.
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