Shared Flashcard Set

Details

nutrition
yanivfenig
39
Medical
Graduate
08/15/2012

Additional Medical Flashcards

 


 

Cards

Term
4 conditions related to obesity
Definition
prader willi syndrome, hypothyroidism, insulinoma, craniopharingioma
Term
hormone that dec appetite and inc energy expenditure
Definition
leptin
Term
2 complications of parenteral nutrition
Definition
hyperglycemia, fluid retention
Term
alternative to nasogastric tube when CI present (aspiration risk)
Definition
nasojejunal tube
Term
nasogastric feeding contraindicated in...
Definition
aspiration risk
Term
3 indications for parenteral feeding
Definition
prolonged ileus, obstruction, hemorrhagic pancreatitis
Term
4 hypermetabolic states
Definition
trauma, burns, sepsis, prolonged febrile illness
Term
4 conditions with inc nutrient loss
Definition
malabsorption, enteric fistula, draining wounds, renal dialysis
Term
what is the only starvation type associated with immunodef.
Definition
kwarshiorkor - protein calorie malnutrition
Term
lab finding in starvation
Definition
24 hr creatinine/height ratio < 60%
Term
2 complications of copper def
Definition
hypochromic anemia, dissecting aortic aneurysm
Term
complication of zinc toxicity
Definition
hypochromic anemia
Term
3 complications of zinc def
Definition
hypogonadism, dwarfism, hypopigmented hair
Term
2 complications of vit E def
Definition
pigmented retinopathy, peripheral neuropathy
Term
3 complications of vit E toxicity
Definition
overall inc mortality, dec platelet aggregation, dec vit K organofication
Term
dermatologic symptom of Vit C def
Definition
perifollicular hemorrhagic rash
Term
MCC of preventable blindness in developing world
Definition
Vit A def
Term
Vit A def inc the risk for 4 things:
Definition
dysentery, measles, malaria, respiratory disease
Term
4 symptoms of Vit B3 (Niacin) def - pellegra
Definition
Diarrhea, Dementia, Dermatitis, Glossitis (3D's + Glossitis)
Term
3 signs of Wet Beriberi (Thiamine def)
Definition
cardiomegaly, tachycardia, high output heart failure
Term
2 signs of Dry Beriberi (Thiamine def)
Definition
symmetric peripheral motor + sensory neuropathy, dec reflexes
Term
the only vit that may be def in fat malabsorption
Definition
Vit E
Term
the only Vit that is never def in alcoholics
Definition
Vit B12
Term
what is the indication to use controller medicine in asthma
Definition
use of a reliever medication more than three times a week
Term
stepwise therapy of asthma
Definition
start ICS, still symptomatic? add LABA (using a combination inhaler)
Term
what are signs of riboflavin (Vit B12) def.
Definition
lesions of the mucocutaneous surfaces of the mouth and skin
Term
what do these signs indicate - loss of appetite, generalized weakness and irritability, abdominal pain, and vomiting. Bright red glossitis then ensues, followed by a characteristic skin rash that is pigmented and scaling, particularly in skin areas exposed to sunlight. This rash is known as Casal's necklace because it forms a ring around the neck
Definition
Vit B3 deficiency - Pellagra
Term
what is the most serious toxic reaction caused by niacin
Definition
Hepatic toxicity
Term
3 s/s of vit B6 def.
Definition
peripheral neuropathy, abnormal EEG, and personality changes that include depression and confusion
Term
2 signs of Vit C toxicity
Definition
in patients with a history of kidney stones can cause more kidney stones

G6PD can cause hemolysis
Term
vit A def: eyes
Definition
night blindness and conjunctival xerosis (dryness) with Bitot's spots (white patches of keratinizedepithelium appearing on the sclera) as well as rare, potentially blinding corneal ulceration and necrosis. Keratomalacia (softening of the cornea)

diarrhea, dysentery, susceptibility to measles, malaria, and respiratory disease
Term
Vit A toxicity
Definition
increased intracranial pressure, vertigo, diplopia, bulging fontanels in children, seizures, and exfoliative dermatitis, dry skin, cheilosis, glossitis, vomiting, alopecia, bone demineralization and pain, hypercalcemia, lymph node enlargement, hyperlipidemia, amenorrhea, and features of pseudotumor cerebri with increased intracranial pressure and papilledema. Liver fibrosis

in pregnancy: congenital malformations have included spontaneous abortions, craniofacial abnormalities, and valvular heart disease
Term
Vit E def.
Definition
areflexia, hemolytic anemia, Ophthalmoplegia, skeletal myopathy, and pigmented retinopathy
Term
vit E toxicity
Definition
bleeding - reduce platelet aggregation and interfere with vitamin K metabolism
Term
zinc def.
Definition
diarrhea, alopecia, muscle wasting, depression, irritability, and a rash involving the extremities, face, and perineum
Term
zinc toxicity
Definition
fever, respiratory distress, excessive salivation, sweating, and headache
Term
selenium def
Definition
Keshan disease is an endemic cardiomyopathy
Term
selenium toxicity
Definition
hair and nail brittleness and loss, garlic breath odor, skin rash, myopathy, irritability
Term
what metabolic disorder is usually implicated in refeeding syndrome (initiation of TPN)
Definition
hypophosphatemia
Supporting users have an ad free experience!