Bela
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A pt suffering from malnutrition comes to ur office. What sbst would be missing in his body and therefore confirmatory of his malnutrition?
(protein, vitamins, carbs etc. etc)
Sorry, don't have an answer on this but possible test question 
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| mash
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vitamins
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| Bela
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Good mash. Which category and which vitamin in particular and why?
By the way, I sorta have an answer...just wanted to see if everyone thought the same thing.
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| mash
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water soluble?????
Fat soluble vitamins (A, D, E and K) are stored in the body so it takes time for deficiency diseases to develop. Water soluble vitamins (the B group and C) are not stored in the body so low intakes usually lead to signs of deficiency relatively quickly.
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| Bela
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Good thinking. Yes, water soluble vitamins....in particular THIAMINE!
Interesting how important thiamine is....
Hey, how come u didn't consider Protein? I mean, what is ur reasoning behind it?
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| mash
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good question......
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| Malaysian
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It can be protein.....in malnourished patients....the serum protein levels will be low leading to oedema.And so gives better picture of someone who is malnourished.The muscle mass will decrease.
I think just because a patient has a couple of vitamins missing it can't be 100% malnutrition.....for example one can see folic acid deficiency in hemolytic anaemia....does it mean the patient is matnourished???Or a patient with scurvy can't be called malnourished just because only his/her Vit.C is low.
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| mjl1717
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It means either overnutrition or undernutrition.
Overnutrition is ususally called obesity
So malnutrition is undernutrition
Loss of 40% or more of "LEAN" body mass usually leads to death
Malnourished pts heal slow, stay in hospital longer, higher death rate after surgery, inefficient immune sys., higher chance of heart ds.Sign of malnutrition,hair is dry dull, mouth may have sores, skin is frail, slow to heal. [Scurvy definitely is a sign of malnutrition], loss of balance , memory impairment.
So in malnutrition Im looking for low protein and low water soluble vitamins
as Mash said
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| Malaysian
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However the option for the answer above doesn't group the 2 together.......what would it be then??
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| mjl1717
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A qualitative and quantitative water soluble vitamin analysis.
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| Malaysian
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Hi mjl1717........I just checked in CMDT to get the exact answer.It says "serum albumin is the most important lab. test for the diadnosis of protein-calorie undernutrition"
Other serum proteins with shorter half-life(such as transferrin,transthyretin,prealbumin)may reflect short term changes in nutritional status but suffer from similar shortcommings.
The 'similar short commings' for all types of protein measured as mentioned above is in reference to conditions which show low protein levels and have nothing to do with undernutitioneg.liver disease,chroni diseases.
There was no mention of vitamins/minerals(unfortunately).
For further reference CMDT pg.1220
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