Cases reported "Nutrition Disorders"

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1/26. lymph loss in the bowel and severe nutritional disturbances in Crohn's disease.

    A severe nutritional deficiency status is described in a 22-year-old patient with Crohn's disease. The clinical picture on admission was dominated by an episode of gastrointestinal bleeding secondary to clotting disturbances (vitamin k deficiency) and severe cachexia due to a protein energy malnutrition. The mechanisms of severe nutritional disturbances in Crohn's disease are multifactorial. In this patient, lymphatic leakage into the intestinal lumen was a major contributing factor in the pathogenesis of protein-losing enteropathy, fat malabsorption, and lymphocytopenia. The authors were able to demonstrate this intestinal lymph loss by nuclear imaging.
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2/26. Trauma in the cirrhotic patient.

    Cirrhotic patients requiring emergency abdominal surgery exhibit a significant increase in mortality. Unlike the elective surgical patient in whom there is often the opportunity to control ascites, improve nutritional status, and correct coagulation abnormalities, the trauma patient may need to undergo immediate emergency surgery to control bleeding or contamination. The operation may present significant technical difficulties in achieving hemostasis. Indicators of poor outcome at admission include ascites, hyperbilirubinemia, elevated prothrombin time, multiple injuries, and blunt abdominal trauma requiring celiotomy.
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ranking = 39358.487700554
keywords = nutritional status, status
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3/26. refeeding syndrome.

    CASE REPORT: An elderly woman with poor nutritional intake developed profound hypophosphataemia and hypokalaemia following the institution of nasogastric feeding. DISCUSSION: refeeding syndrome is well recognized in certain undernourished groups of patients, but may not be so well known to physicians looking after elderly patients, whose nutritional status may be more deficient than is originally apparent.
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ranking = 39358.487700554
keywords = nutritional status, status
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4/26. abetalipoproteinemia-like lipid profile and acanthocytosis in a young woman with anorexia nervosa.

    We report the case of a 17-year-old woman with anorexia nervosa (AN) who developed an abetalipoproteinemia-like lipid profile and acanthocytosis. These abnormalities resolved slowly as her nutritional status improved. We considered 3 possible causes of an abetalipoproteinemia-like lipid profile in AN: (1) depletion of hepatic substrate for apolipoprotein B synthesis, (2) lack of exogenous fatty acids with exhaustion of endogenous stores of triglycerides in adipose tissue, and (3) preservation of the lipoprotein lipase (LPL) mass. This unusual case provides important clues that enhance our understanding of lipid metabolism under exogenous and endogenous fat deprivation and highlights the pivotal role of LPL as a gatekeeper of the energy source.
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ranking = 39358.487700554
keywords = nutritional status, status
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5/26. The biocultural approach in nutritional anthropology: case studies of malnutrition in mali.

    Socioeconomic status is often cited as the most important factor influencing nutritional status and growth in children. research in mali, however, has shown that relative poverty is not an accurate predictor of nutritional status and growth, and that other factors may be more important. In mali, these factors include maternal age, marital problems, untreated illness, allocation of household resources, maternal attitudes, maternal competence, support networks, and the social structure of a polygynous, patrilineal society. In this paper, case studies of children in three families illustrate how sociocultural malnutrition in young children can be viewed as an unintended consequence of the complex interactions among these factors.
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ranking = 78717.975401109
keywords = nutritional status, status
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6/26. The complex gastrointestinal patient and Jean Watson's Theory of Caring in nutrition support.

    The care of the patient with gastrointestinal disease is complex and challenging. The reasons for the complexity are varied and different for each patient. Any of these variables can affect the nutritional health of the patient, an essential element of care that supports healing, recovery, and improved quality of life. A nutritional assessment, an evaluation of the patient's nutritional status, can be used to establish the patient's weight history, dietary habits, tolerances, and likes and dislikes. Intake and output values from this assessment provide information relating to the patient's ability to meet his or her nutritional requirements orally or whether alternate methods for nutrition support need be considered, such as a feeding tube or a central intravenous catheter.parenteral nutrition is the intravenous nutrition supplementation required when the oral or enteral route for nutrition support is unavailable or impossible. In this article, a clinical case scenario for a 34-year-old man with a history of cancer and an extensive bowel resection will be presented to better explore the decision-making process for determining appropriate nutrition support. In addition, various issues the health practitioner needs to consider when managing the nutritional health of the complex gastrointestinal patient will be explored, relative to Jean Watson's Theory of Caring.
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ranking = 39358.487700554
keywords = nutritional status, status
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7/26. Resolution of cryptosporidium infection in an AIDS patient after improvement of nutritional and immune status with octreotide.

    An AIDS patient with severe large volume diarrhea and malnutrition due to cryptosporidial infection is presented. The patient, who was not receiving zidovudine, was treated with octreotide with resolution of diarrhea leading to improvement in nutritional status, immune functions, and subsequently, resolution of the cryptosporidium infection. This case points out the need for adequate nutrition in AIDS patients and highlights the relationship of nutrition and the immune system.
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ranking = 39362.487700554
keywords = nutritional status, status
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8/26. hypothermia in the summer.

    We have presented two cases of hypothermia associated with altered mental status occurring during the summer in the sunbelt. Both cases represent nonexposure hypothermia of multifactorial origin requiring prompt aggressive diagnostic and therapeutic intervention. The effects of phenothiazines, alcoholism, Wernicke's encephalopathy, Parkinson's disease, and altered mental status contributed to the development of hypothermia in these instances. Although both patients survived and were discharged from the hospital, it is likely that hypothermia in such situations has a higher mortality. awareness of the broad differential of predisposing conditions is mandatory in treating such patients in a timely fashion.
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ranking = 2
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9/26. Nutrition intervention in general dentistry.

    This article presents a nutrition program in general dentistry following an oral health nutrition care process, and provides a guideline for identifying patients at risk of developing marginal malnutrition as a result of oral health procedures. The program highlights the importance of assessing nutritional status by segregating high-risk patients from low-risk patients. A case report demonstrates the therapeutic dietary management of a patient whose jaws were immobilized as a result of trauma.
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ranking = 39358.487700554
keywords = nutritional status, status
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10/26. Nutrition support of the pediatric patient with AIDS.

    Maintaining optimal nutrition in the pediatric patient with Acquired Immune Deficiency Syndrome (AIDS) is challenging, but it may be one of the most effective therapies. patients experience numerous complications that compromise nutritional status. Infection, fever, diarrhea, feeding problems, and decreased intake all contribute to malnutrition, which in turn predisposes the patient even more to infection and malabsorption. nutrition assessment should be done routinely so that new problems may be identified and treated. High-calorie, high-protein feedings, vitamin supplementation, and, when necessary, gavage feedings or parenteral nutrition are recommended to improve nutritional status and prevent further deficits. Maintaining optimal nutrition in the pediatric patient with Acquired Immune Deficiency Syndrome (AIDS) poses a significant challenge to the health care team. patients may experience numerous complications that compromise nutritional status. The patient is at high risk for opportunistic infections, especially of the lungs, central nervous system, gastrointestinal (GI) tract, and skin. Such infections are common causes of morbidity and mortality. Impaired nutritional status may further impair the patient's immunocompetence. A study by Kotler and Gaety demonstrated severe progressive malnutrition in adult AIDS patients, with the lowest measures of lean body mass occurring in those patients close to death at the time of the study. While no studies of children with AIDS have been done to date, we have subjectively observed feeding problems, weight loss, and malnutrition in most of the patients we have seen.
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ranking = 157433.95080222
keywords = nutritional status, status
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