Nutritional disorders / Questions and case reports
- A girl, 17 years old, measures 170 cm and weighs 45 kg. Her average daily intake of energy nutrients is 100 g of carbohydrates, 20 g of protein and 15 g of fat.
- 1. What is its daily energy intake (in kcal, kJ)?
- 2. What is the value of her basal metabolism? Use a rough estimate, i.e., BMR = 24 × weight in kg.
- Kwashiorkor manifests itself:
- A - Growth retardation
- B - Loss of subcutaneous fat
- C - Hypoalbuminemia
- D - Edema
- Which vitamins are absorbed directly in the gut?
Case Reports[edit | edit source]
A 78 years old woman[edit | edit source]
She has lived in a retirement home for 2 years. In recent months, she has had difficulty walking, experienced paresthesia, and numbness in her legs. A neurologist diagnosed her with peripheral neuropathy. He suspected that she is experiencing inadequate nutrition, especially with regards to vitamin intake. He examined the concentration of transketolase in erythrocytes.
- What causes transketolase deficiency?
- What are the symptoms of thiamine pyrophosphate deficiency?
A 68 years old man[edit | edit source]
He was on parenteral nutrition for established malnutrition. He had pernicious anemia . The attending physician ordered a blood sample to be taken to determine B12 level.
- Was this examination necessary in the patient? (Note: This is a relatively expensive examination.)
References[edit | edit source]
Related articles[edit | edit source]
Other chapters from the book MASOPUST, J., PRŮŠA, R .: Pathobiochemistry of metabolic pathways
Source[edit | edit source]
- MASOPUST, Jaroslav and Richard PRŮŠA. Pathobiochemistry of metabolic pathways. 1st edition. Prague: Charles University, 1999. 182 pp. 208-210. ISBN 80-238-4589-6 .