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Clinical and Biochemical Assessment of Nutritional Status

The document discusses the physical abnormalities and nutritional deficiencies associated with various diseases. It provides tables outlining the signs of malnutrition, diabetes, cardiovascular disease, liver disease, renal/urinary disease, lung disease, and cancer. It also lists various medical tests used to clinically and biochemically assess nutritional status and the mentioned diseases.

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Alyssa Margareth Soriano
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201 views15 pages

Clinical and Biochemical Assessment of Nutritional Status

The document discusses the physical abnormalities and nutritional deficiencies associated with various diseases. It provides tables outlining the signs of malnutrition, diabetes, cardiovascular disease, liver disease, renal/urinary disease, lung disease, and cancer. It also lists various medical tests used to clinically and biochemically assess nutritional status and the mentioned diseases.

Uploaded by

Alyssa Margareth Soriano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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CLINICAL AND BIOCHEMICAL ASSESSMENT OF

NUTRITIONAL STATUS
MALNUTRITION

PHYSICAL ABNORMALITIES DEFICIENCY

• Loose and wrinkled (marasmus), shiny and Carbohydrate


adematous (kwashiorkor), and dry skin
Protein
• Thinning of the hair follicles
Fat
• Dry eyes, pale conjunctiva, bitot’s spots
Vitamins
• Spongy bleeding gums
Minerals
• Muscle wasting
Degree of PEM Stunting (%) Height for age Wasting (%) Weight for height

Normal: Grade 0 >95% >90%

Mild: Grade I 87.5–95% 80–90%

Moderate: Grade II 80–87.5% 70–80%

Severe: Grade III <80% <70%


DIABETES MELLITUS
PHYSICAL ABNORMAL DEFICIENCY

• Urination, increased thirst, and hungry VITAMIN A


• Vision loss VITAMIN D
• slow wound healing
VITAMIN E
• Red scaly rash
IRON
• Dry mouth
• Numbness in feet or legs
CARDIOVASCULAR DISEASE

PHYSICAL ABNORMALITIES DEFICIENCY

• Chest pain VITAMIN A


• Numbness that spread to the arm CALCIUM
• Pain jaw VITAMIN D
• Cyanosis
• Swelling in the legs and hands
• COMPLETE BLOOD COUNT
• ELECTROLYTES (SODIUM, POTASSIUM, CHLORIDE)
• BLOOD LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)
• BLOOD SUGAR (GLUCOSE)
• ELECTROCARDIOGRAM (ECG)
• ECHOCARDIOGRAM OR ULTRASOUND OF THE HEART MUSCLE
LIVER DISEASE

PHYSICAL ABNORMALITIES DEFICIENCY

• YELLOWISH EYES AND SKIN • IRON, FOLATE, VITAMIN B12, VITAMIN


(JAUNDICE) B-COMPLEX, PROTEIN, CALCIUM,
• ITCHY SKIN AND BRUISING VITAMIN C AND D

• DERMATITIS
• FINGER CLUBBING AND SPOON
SHAPE
• SWELLING LEGS AND ANKLE
• A COMPLETE BLOOD COUNT TEST
• CT SCANS, MRIS, OR ULTRASOUNDS TO CHECK FOR LIVER DAMAGE OR TUMORS
• A LIVER BIOPSY, WHICH INVOLVES REMOVING A SMALL SAMPLE OF YOUR LIVER AND
EXAMINING IT FOR SIGNS OF DAMAGE OR DISEASE
RENAL AND URINARY DISEASE

PHYSICAL ABNORMALITIES DEFICIENCY

• PALLOR • IRON
• PETECHIAE • FOLATE
• PALLOR COJUNCTIVA • PROTEIN
• SWOLLEN HANDS AND ANKLE
•  BLOOD CREATININE TEST AND/OR ESTIMATED GLOMERULAR FILTRATION RATE (
EGFR) 
LUNG DISEASES

PHYSICAL ABNORMALITIES DEFICIENCY


• CYANOSIS
• IRON
• CLUBBING FINGER
• PROTEIN
• MUSCLE WASTING
• VITAMIN B12
• BLOOD GASES – A BLOOD SAMPLE COLLECTED FROM AN ARTERY IS USED TO
EVALUATE BLOOD PH, OXYGEN, AND CARBON DIOXIDE LEVELS
• COMPLETE BLOOD COUNT (CBC) – TO EVALUATE BLOOD CELLS AND HELP
DETECT, FOR EXAMPLE, ANEMIA OR INFECTIONS
• COMPREHENSIVE METABOLIC PANEL (CMP) – TO EVALUATE THE HEALTH OF
YOUR ORGANS AND ELECTROLYTE BALANCE
CANCER

PHYSICAL ABNORMAL DEFICIENCY

• ALOPECIA
• CHEILOSIS
• CIRCULATING TUMOR CELL (CTC) TESTS MAY BE USED TO MONITOR 
METASTATIC BREAST, COLORECTAL AND PROSTATE CANCERS
• A COMPLETE BLOOD COUNT (CBC) TEST MEASURES THE NUMBER OF BLOOD
CELLS CIRCULATING IN THE BLOODSTREAM

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