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47 Cards in this Set

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What causes acrodermatitis enteropathica?
inherited autosomal recessive disorder leading to zinc deficiency
How is acrodermatitis enteropathica diagnosed?
low zinc concentration, low serum alkaline phos
How does zinc deficiency present?
short stature, hypogonadism, skin disorders including alopecia,glossitis, dermatitis, cognitive dysfunction, impaired development, peripheral neuropathy, anorexia, diarrhea, platelet dysfunction, and altered wound healing, impaired humoral and cell-mediated immunity, ophthalmologic (corneal opacities, conjunctivitis, blepharitis, night blindness)
In what foods is zinc found?
red meat, poultry, seafood, and dairy products, beans
What conditions predispose to acquired zinc deficiency?
Poor dietary intake, long term parenteral nutrition without zinc supplementation, conditions that lead to malabsorption, such as milk protein sensitivity, Crohn disease, celiac disease, sickle cell disease, cystic fibrosis, and liver and renal disease
What is the distribution of rash in enteropathica acrodermatitis?
The typical rash distribution is on the perioral, perianal, and acral areas of the body.
What complication of zinc supplementation may develop?
Copper deficiency
How does copper deficiency present?
initially with a microcytic, hypochromic anemia and low serum concentrations of copper and ceruloplasmin
Where is vitamin A found?
Green leafy vegetables, carrots, sweet potatoes, liver
What are the symptoms of vitamin A deficiency?
Nyctalopia (night blindness), photophobia, keratomalacia, blindness, impaired growth, follicular hyperkeratosis
What are the symptoms of vitamin A excess?
Anorexia, dry skin, painful joints, increased intracranial pressure, headache, vomiting, drowsiness
What is vitamin B1?
thiamine
Where is vitamin B1 found?
Liver, pork, milk, grains
What are the symptoms of vitamin B1 deficiency?
Beriberi, fatigue, cardiac failure, polyneuritis
What are the symptoms of vitamin B1 excess?
none
What is vitamin b2?
Riboflavin
Where is vitamin B2 found?
Milk, cheese, liver, green leafy vegetables
What are the symptoms of vitamin B2 deficiency?
Blurring of vision, cheilosis
What are the symptoms of vitamin B2 excess?
none
What is vitamin B6?
Pyridoxine
Where is vitamin B6 found?
Meat, liver, kidneys
What are the symptoms of vitamin B6 deficiency?
Seizures, irritability, sensory ataxia
What are the symptoms of vitamin B6 excess?
Neuropathy
What is vitamin b12?
cobalamin
Where is vitamin B12 found?
Fish, eggs, cheese
What are the symptoms of vitamin B12 deficiency?
Juvenile pernicious anemia
What are the symptoms of vitamin B12 excess?
none
Where is Niacin found?
Liver, fish, whole grains, eggs, milk, poultry
What are the symptoms of Niacin deficiency?
Pellagra (rash, diarrhea, stomatitis, glossitis, mental status changes)
What are the symptoms of Niacin excess?
None
Where is folate found?
Cauliflower, green leafy vegetables, yeast, liver, kidney
What are the symptoms of folate deficiency?
Megaloblastic anemia, irritability, failure to gain weight
Where is vitamin D found?
Fortified milk, liver oils, sunlight, egg yolks
What are the symptoms of vitamin D deficiency?
Rickets, tetany, bow legs, poor growth
What are the symptoms of vitamin D excess?
Diarrhea, weight loss, calcification of soft tissues
Where is vitamin E found?
Germ oils, green leafy vegetables
What are the symptoms of vitamin E deficiency?
Red blood cell hemolysis, muscle weakness, double vision
What are the symptoms of vitamin E excess?
Nausea, diarrhea, vitamin K antagonism
What is vitamin E?
tocopherol
Where is vitamin K found?
Green leafy vegetables, liver
What are the symptoms of vitamin K deficiency?
Hemorrhagic manifestations
What are the symptoms of vitamin K excess?
Hyperbilirubinemia, hemolytic anemia, kernicterus
Where is vitamin C found?
Citrus fruits
What are the symptoms of vitamin C deficiency?
Scurvy, poor wound healing
What are the symptoms of vitamin C excess?
Oxaluria
What is ergocalciferol?
Vitamin D2
What is cholecalciferol?
Vitamin D3