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Nutrition Assessment - Clinical. Physical signs of nutritional status & disease. Clinical. Will also discuss Medical hx Social hx Functional status - ADL Physical signs of fluid status. Clinical. Medical Hx identifies disorders or conditions that affect nutritional status. Clinical.
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Nutrition Assessment - Clinical • Physical signs of nutritional status & disease
Clinical • Will also discuss • Medical hx • Social hx • Functional status - ADL • Physical signs of fluid status
Clinical • Medical Hx • identifies disorders or conditions that affect nutritional status
Clinical • Social/economic Hx • identifies environmental influences that affect nutrient intake
Clinical • Drug Hx • identifies medications that affect nutrient intake or nutritional status
Medical Hx • Dx - past and current • Dx procedures • Surgeries • Chemotherapy & radiation • Hx of nutrition-related problems
Medical Hx • Psychosocial hx • alcohol • smoking • social support • Wt changes • Restricted food intake
Medical Hx • Chronic disease • N & V • Short gut syndrome • Renal dialysis • Draining wounds
Medical Hx • Increased metabolic rate • burns • fever - BMR increases by 7% for each degree Fahrenheit above normal • trauma
Physical Exam • Again, not a firm Dx by themselves
McClaren 110. Same pt. at 109 after 10 days B complex therapy.
McClaren 92. Filiform papillary atrophy, niacin, folic acid, B12 or iron, nonspecific.
McClaren 95. Magenta tongue, riboflavin.
McClaren 85. Casal’s necklace.
McClaren 192. Colloid goiter, Grade 1.
McClaren 193. Colloid goiter, Grade 2.
McClaren 194. Colloid goiter, Grade 3.
McClaren 197. Endemic goiter and cretinism.
McClaren 170. Koilonychia.
McClaren 141. Active scorbutic rosary.
McClaren 142. Scorbutic rosary.
Upjohn 17c. Rickets, vit D deficiency.
Upjohn 11. Edema in beriberi, thiamin.
McClaren 119. Pallor of pernicious anemia.
Hydration Status • Signs of dehydration • decreased skin elasticity • dry mucous membranes • dry mouth • infrequent urination • unusual drowsiness • disorientation