Gi 2

Front 1

MANIFESTATION OF NUTRIENT DEFICIENCIES: HAIR

Back 1

Alopecia Zinc
Easy to remove Protein
Lackluster hair Protein
“Corkscrew” hair Vitamin C
Decreased pigmentation Protein

Front 2

MANIFESTATION OF NUTRIENT DEFICIENCIES: EYES

Back 2

Xerosis of conjunctiva Vitamin A
Corneal vascularization Riboflavin
Keratomalacia Vitamin A
Bitot`s spots Vitamin A

Front 3

MANIFESTATION OF NUTRIENT DEFICIENCIES: GASTROINTESTINAL TRACT

Back 3

Nausea, vomiting Pyridoxine
Diarrhea Zinc, niacin
Stomatitis Pyridoxine, riboflavin, iron
Cheilosis Pyridoxine, iron
Glossitis Pyridoxine, zinc, niacin, f.acid, vit. B12
Magenta tongue Riboflavin
Swollen, bleeding gums Vitamin C
Fissured tongue Niacin
Hepatomegaly Protein

Front 4

MANIFESTATION OF NUTRIENT DEFICIENCIES: SKIN

Back 4

Dry and scaling Vitamin A
Petechiae/ecchymosses Vitamin C
Follicular hyperkeratosis Vitamin A
Nasolabial seborrhea Niacin
Bilateral dermatitis Niacin
Magenta tongue Vitamin A
Swollen, bleeding gums Vitamin C

Front 5

MANIFESTATION OF NUTRIENT DEFICIENCIES: EXTREMITIES

Back 5

Subcutaneous fat loss Calories
Muscle wastage Calories, protein
Edema Protein
Osteomalacia, bone pain, rickets Vitamin D

Front 6

MANIFESTATION OF NUTRIENT DEFICIENCIES: HEMATOLOGIC

Back 6

Anemia--Vitamin B12, iron, folic acid, copper, vitamin E
Leukopenia, neutropenia Copper
Low prothombin time, Vitamin K. manganese
prolonged clotting time

Front 7

MANIFESTATION OF NUTRIENT DEFICIENCIES: NEUROLOGIC

Back 7

Disorientation Niacin, thiamine
Confabulation Thiamine
Neuropathy Thiamine, pyridoxine, chromium
Paresthesia Thiamine, pyridoxine, vitamin B12

Front 8

MANIFESTATION OF NUTRIENT DEFICIENCIES: CARDIOVASCULAR

Back 8

Congestive heart failure, Thiamine
cardiomegaly, tachycardia
Cardiomyopathy Selenium
Cardiac dysrhythmias Magnesium

Front 9

CHOLECYSTITIS (Key Features)

Back 9

*Episodic or vague upper abdominal pain or discomfort that can radiate to the right shoulder**Pain triggered by a high-fat or high-volume meal**Anorexia**Nausea and/ or vomiting**Dyspepsia (indigestion)**Eructation (belching)**Flatulence (gas)**Feeling of abdominal fullness**Rebound tenderness (Blumberg`s sign)**Fever**Jaundice, clay-colored stools, dark urine, steatorrhea (most common with chronic cholecytitis)

Front 10

PATIENT WITH LIVER DYSFUNCTION: Neurologic Findings

Back 10

- Asterixis
- Paresthesias of feet
- Peripheral nerve degeneration
- Portal-systemic encephalopathy
- Reversal of sleep-wake pattern
- Sensory Disturbances

Front 11

PATIENT WITH LIVER DYSFUNCTION: Gastrointestinal (GI) Findings

Back 11

**Abdominal pain** Anorexia**Ascites**Clay-colored stools**Diarrhea**Esophageal varices**Fetor hepaticus**Gallstones** Gastritis**Gastrointestinal bleeding**Hemorrhoidal varices**Hepatomegaly**Hiatal hernia**Hypersplenism**Malnutrition**Nausea**Small nodular liver**Vomiting

Front 12

PATIENT WITH LIVER DYSFUNCTION: Renal Findings

Back 12

- Hepatorenal syndrome
- Increased urine bilirubin

Front 13

PATIENT WITH LIVER DYSFUNCTION: Endocrine Findings

Back 13

- Increased aldosterone
- Increased antidiuretic hormone
- Increased circulating estrogens
- Increased glucocorticoids
- Gynecomastia

Front 14

PATIENT WITH LIVER DYSFUNCTION: Immune System Disturbances

Back 14

- Increased susceptibility to infection
- Leukopenia

Front 15

PATIENT WITH LIVER DYSFUNCTION: Cardiovascular Findings

Back 15

- Cardiac dysrythmias
- Development of collateral circulation
- Fatigue
- Hyperkinetic circulation
- Peripheral edema
- Portal hypertension
- Spider angiomas

Front 16

PATIENT WITH LIVER DYSFUNCTION: Pulmonary Findings

Back 16

- Dyspnea
- Hydrothorax
- Hyperventilation
- Hypoxemia

Front 17

PATIENT WITH LIVER DYSFUNCTION: Hematologic Findings

Back 17

- Anemia
- Disseminated intravascular coagulation
- Impaired coagulation
- Splenomegaly
- Thrombocytopenia

Front 18

PATIENT WITH LIVER DYSFUNCTION: Dermatologic Findings

Back 18

- Axillary and public hair changes
- Caput medusae
- Ecchymosis
- Increased skin pigmentation
- Jaundice
- Palmar erythema
- Pruritus
- Spider angiomas

Front 19

PATIENT WITH LIVER DYSFUNCTION: Fluid and Electrolyte Disturbances

Back 19

- Ascites
- Decreased effective blood volume
- Dilutional hyponatremia or hypernatremia
- Hypocalcemia
- Hypokalemia
- Peripheral edema
- Water retention