General Overview

Question 1

• Patient Appear Toxic in ………
• Patient Appear Cachectic in ………
• Patient Appear Ape-Like in ………
• Patient Appear Moon Face in ………

Answer 1

• Infection
• LCF
• Acromegaly
• Cushing

Question 2

How to assess the nutritional status of the patient?

Answer 2

• Skin fold thickness
• Body mass index (BMI)
• Signs of nutritional deficiency

Question 3

Normal Skin fold thickness

Answer 3

• Skin fold thickness in the ♀ is 1.5 times the skin fold thickness in the ♂.
• The skin fold thickness in ♂ is about:
  1. Suprapubic region —-> 1 inch
  2. Mid arm —-> 1/2 inch in the (i.e. midway between acromion & elbow)

Question 4

Calculation of BMI

Answer 4

BMI =Weight in kg/(Height in m)2

Question 5

Interpretation of BMI

Answer 5

Question 6

Signs of nutritional deficiency

Answer 6

Question 7

Signs of nutritional deficiency

• Protein

Answer 7

Nutritional edema: (hypoalbuminemia)

Question 8

Signs of nutritional deficiency

• iron or vitamin B12 or folic acid

Answer 8

Anemia

Question 9

Signs of nutritional deficiency

• vitamin B complex

Answer 9

Peripheral neuropathy.

Question 10

Signs of nutritional deficiency

• vitamin B2 “riboflavin”

Answer 10

Angular stomatitis

Question 11

Signs of nutritional deficiency

• vitamin B3 ‘‘niacin”

Answer 11

• Brown desquamated rash (dermatitis) in butterfly area of the face & neck lace area & dementia & diarrhea “’Pellagra’’

Question 12

Signs of nutritional deficiency

• vitamin C

Answer 12

Bleeding gum & delayed wound healing “Scurvy”

Question 13

What is Considered as Significant weight loss?

Answer 13

loss of 1-2 % of body weight in 1 w or 7.5 % in 3m or 10 % in 6m.