Please enable JavaScript.

Coggle requires JavaScript to display documents.

Common Nutritional Metabolic Toxic Disorders (vitamin deficiencies…

- - - - excessive accumulation of fat in subcutaneous tissues
      - BMI equal or greater than 30
      - mismatch between the number of calories that you are using versus what you are eating
      - Complications
        
        Pickwickian Syndrome/ Hypersomnia sleep apnea
        
        sleep apnea
        
        excessive daytime sleepiness
        
        severe cardiovascular distress and alveolar hypoventilation
        
        CHF, arrhythmia, and idiopathic intracranial hypertension (pseudotumor)
  - - - very low protein in diet but calories from carbs
      - you will not see growth retardation
      - edema, protruding belly
  - - - deficient in all nutrients
      - no edema
      - common is 1st year of life
      - mental changes, growth retardation
- - - - demyelination of the pons that can lead to paralysis, dysphagia, dysarthria
    - - demyelination of corpus collasum which can lead to rapid psychosis, stupor and coma, death
    - - they develop learning difficulties of different degrees
    - - recurrent bouts of encephalopathy produces hepatorenal syndrome with dementia and ataxia
      - asterixis : flapping tremor
    - - stretching of bridging veins, head trauma, coagulopathy
- - - - inadequate intake of vitamins
        
        NOT commonly seen in Kwarshiorkor or Marasmus
        
        malabsorption
        
        strict vegan diet
        
        tapeworm
        
        breast fed infants whose mom lack vits etc.
      - congenital vitamin B12 deficiency
    - - Posterolateral column disease
        
        parestheis, difficult with gait, balance, vibration, proprioception
        
        positive romberg sign, babinksy sign present
  - - - triad: ataxia, opthalmoplegia, confusion
        
        lesions in mamillary bodies will cause the confusion
        
        lesions in medial thalamic nuclei will cause eye movement problems
      - Korsakoff's psychosis
        
        progress to irreversible anterograde memory loss, confabulation , and personality change