Hbd1: Nutritional Diseases Dr. Friedlander

Front 1

Lack of pigmentation of the body w/ alternating areas of normal and lost hair color pigmenation, child is edematous and has abundant subcuataeous fat, Dx and cause?

Back 1

Kwashiorkor...sufficient calories but lack of protien

Front 2

Emaciation (extreme loss of muscle and fat), monkey faces, growth failure and extreme hunger.

Back 2

Marasmus - lack of calorie intake

Front 3

Fat soluble vitamins

Back 3

A, D, E, & K

Front 4

Water soluble vitamins

Back 4

B, C and folic acid

Front 5

Vitamin A source, form in the body and storage

Back 5

Made from Corotene...exists as retinol/al and retinoic acid...stored in the liver and shuttled around

Front 6

Night blindness can be caused by a lack of what vitamin

Back 6

A

Front 7

This vitamin maintains the differentiation of certain special kinds of epithelium (including many ducts), and in deficiency state, epithelial surfaces undergo squamous metaplasia (from stratified squamous to cuboidal epith.) and hyperkeratinize

Back 7

A

Front 8

Xerophthalmia, bitots spots (masses of desquamated keratin on the cornea or conjunctiva)kidney stones are seen w/ a deficiency of this vitamin

Back 8

A

Front 9

Which vitamin deficiency is associated w/ vulernability to trachoma

Back 9

A

Front 10

How much sun exposure is needed to make enough vitamin D/

Back 10

5-10min 2-3x/week

Front 11

Rickets is associated w/ this vitamin deficiency?

What happens in adults

Back 11

D

Osteomalacia

Both are from a failur of osteoid (bone matrix) to mineralize

Front 12

Low serum calcidiol/calcitriol confirms the diagnosis of?

Back 12

Vit D deficiency

Front 13

What vitamin overdose can cause hypercalcemia and kidney stone formation

Back 13

Vit D

Front 14

Cystic fibrosis patients are prone to this vitamin deficiency?

Back 14

Vit E if not supplemented brain damage results

Front 15

This is the co-factor for ths sntheiss of gamma-carboxy glutamic acid, required for the clacium-binding clotting factors II, VII, IX X plus C and S?

Back 15

Vit K

Front 16

Coumarin and severe liver disease may cause a dificiency in this vitamin

Back 16

K

Front 17

This vitamin deficiency is seen in alcoholics, cancer vitctims who don't eat, women w/ extreme vomittin during pregnancy and people who are starved?

Back 17

B1 (thiamin)

Front 18

Wet beriberi (edema resulting from high output from heart failure) and dry beriberi (polyneuropathy - numb fingers and toes) are associated w/ what vitamin deficiency?

Back 18

B1 (thiamine)

Front 19

Wernikies-Korsakoff syndrome is associated w/ a defiency in what vitamin

Back 19

B1 (thiamine)

Front 20

Precursor for the co-factor NAD

Back 20

Vitamin B3 (niacin, nicotinic acid)

Front 21

Three D's of niacin (B3) deficiency, "Pellagra"

Back 21

Dermatitis (red, thick flaking paint) Diarrhea, dementia and Death (fourth D)

Front 22

This amino acid shuttles amiono groups and amino acids around

Back 22

Vitamin B6 (pyridoxine)

Front 23

This vitamin shuttles methyl groups

Back 23

Folic acid (best source is uncooked vegtables and fruits)

Vitamin B12 (cobalamin) - involved in making thymine/DNA and methionine

Front 24

Vegans, those w/ problems w/ intrinsic factor, fish tapeworm, blind loop syndrome and inflammtion of the terminal ileum can all become defiencient of this vitamin

Back 24

B12 (cobalamin)

Front 25

degeneration of the spinal cord (loss of prporiopreception), mild neuropathy and mental slowing all of which take yrs to develop are from a deficiency of this vitamin

Back 25

B12 (cobalamin)

Front 26

This vitamin is essential in the development of collagen

Back 26

Vitamin C (ascorbic acid)

Front 27

patient bruises easily, bleed spontaneously, petechiae around the gums and hemorrhages beneath the periosteum develop...the most painful of the deficiency diseases

Back 27

Vit C deficiency

Front 28

This vitamin can give false negative tests for glucose and blood in the urine or stool?

Back 28

Vit C

Front 29

Most common nutritional deficiency almost everywhere

Back 29

Iron

Front 30

Where is iron absorbed

Back 30

Duodenum

Front 31

What type of anemia does iron deficiency produce?

Back 31

microcytic, hypochromic anemia (anemia that has an abdnormal ration of hemoglobin to erythrocyte volume)

Front 32

Acrodermatitis enteropathica is the most distinctive feature of?

Back 32

Zinc deficiency

Front 33

Growth and Zince deficiency?

Back 33

Stunted growth

Front 34

This deficiency is characterized by heart failure and increases suceptibility to coxsackievirus?

Back 34

Selenium def.