NFPE

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  1. Skin - adequate/appropriate nutrition
    Elastic, firm, slightly dry; no lesions, rashes, hyperpigmentation
  2. Skin - 
    Decreased
    subcutaneous tissue
    • Possible Nutrition-related Causes -
    • Prolonged insufficient energy

    • Possible Supportive Objective Findings -
    •  ↓ skinfold thicknesses, ↓ BMI
  3. skin- delayed wound healing
    • Possible
    • Nutrition-related Causes
    • Insufficient vitamin C
    • supportive findings: ↓ serum ascorbic acid
    •  
    • Possible Nutrition-related Causes: Insufficient
    • zinc

    • Possible Findings:
    •  ↓ serum zinc
  4. Skin - Delayed wound healing
    Possible Nutrition causes:Insufficient zinc Possible findings:              ↓ serum zinc
  5. Skin - Dermatitis (generalized)
    Possible Nutrition causes:  Insufficient zinc Possible findings: ↓ serum zinc
  6. Skin - Dryness Possible
    Nutrition causes:   Insufficient vitamin A Possible findings: ↓ plasma retinol

    Possible Nutrition causes:   Insufficient essential and unsaturated fatty acids Possible findings: Triene:tetraene ratio > 0.4
  7. Skin - Edema
    Possible Nutrition causes:  Insufficient protein Possible findings: ↓ serum proteins
  8. Skin - Hyperpigmentation
    Possible Skin -  Hyperpigmentation Possible Nutrition causes:  Insufficient vitamin B-12 Possible findings: Macrocytosis on RBC smear, ↓ serum B-12

    Nutrition causes: Insufficient folic acid Possible findings:  ↓ serum folic acid, ↓ RBC folic acid

    Nutrition causes: Insufficient niacin Possible findings: ↓ plasma tryptophan, ↓ urinary N-methyl nicotinamide
  9. Skin - Pallor
    Insufficient iron Possible findings: ↓ serum Fe, ↑ TIBC



    • Insufficient vitamin B-12 Possible findings: Macrocytosis on
    • RBC smear, ↓ serum B-12

    • Insufficient vitamin C Possible findings: ↓ serum ascorbic
    • acid

    • Insufficient folic acid Possible findings:  ↓ serum
    • folic acid, ↓ RBC folic acid

    •  Insufficient pyridoxine Possible findings: ↓ plasma
    • pyridoxal phosphate
  10. Skin - Poor skin turgor
    Insufficient water, sodium Possible findings: ↓ serum Na
  11. Skin -  Petechiae
    Possible Nutrition causes:  Insufficient vitamin C Possible findings: ↓ serum ascorbic acid
  12. Skin - Swollen red pigmentation (pellagrous dermatosis
    Insufficient niacin Possible findings: ↓ plasma tryptophan, ↓ urinary N-methyl nicotinamide
  13. Hair - Dull, dry, thin, brittle, sparse, easily plucked hair
    Possible Nutrition causes: Insufficient protein, energy Possible findings: ↓ serum proteins
  14. Nails - Thin, spoon-shaped nails
    Insufficient iron Possible findings: ↓ serum Fe, ↑ TIBC
  15. Head - Hard, tender lumps in occipital region
    Possible Nutrition causes:  Excess vitamin A Possible findings: ↑ plasma retinol
  16. Head - Headache
    Possible Nutrition causes:  Excess thiamin Possible findings: None identified
  17. Head - Skull flattened, frontal bones prominent
    Possible Nutrition causes:  Insufficient vitamin D Possible findings: ↓ 25-OH-vitamin D, ↑ alk phos, ± ↓ Ca, ↓ PO4; long bone films
  18. Head -  Suture fusion delayed past 12-18 months
    Possible Nutrition causes: Insufficient vitamin D Possible findings: ↓ 25-OH-vit D, ↑ alk phos, ± ↓ Ca, ↓ PO4
  19. Neck - Thyroid gland enlarged, obvious to inspection
    Possible Nutrition causes:  Insufficient iodine Possible findings: ↓ total serum iodine
  20. Eyes - Dull, soft cornea; white or gray spots on cornea (Bitot’s spots)
    Possible Nutrition causes:  Insufficient vitamin A Possible findings: ↓ plasma retinol
  21. Eyes - Burning, itching, photophobia
    Possible Nutrition causes:  Insufficient riboflavin Possible findings: ↓ RBC glutathione reductase
  22. Eyes - Pale membranes
    Possible Nutrition causes:  Insufficient iron Possible findings: ↓ serum Fe, ↑ TIBC
  23. Eyes - Night blindness
    Possible Nutrition causes:  Insufficient vitamin A Possible findings: ↓ plasma retinol
  24. Eyes - Redness, fissuring at corners of eyes
    Possible Nutrition causes: Insufficient riboflavin Possible findings: ↓ RBC glutathione reductase

      Possible Nutrition causes:  Insufficient niacin Possible findings: ↓ plasma tryptophan, ↓ urinary N-methyl nicotinamide
Author:
jksrd
ID:
313258
Card Set:
NFPE
Updated:
2015-12-15 17:08:43
Tags:
nutrition physical exam
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Description:
NFPE
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