nutrient deficiency
Marasmus – wasted
Kwashiorkor – oedematous > belly
Fats - alopecia, dermatitis (+ low plts)
Zn – alopecia, dermatitis (perioral / perianal)
Fe / B12 / B9 / E = anaemia: palour
Iodine – thyroid hypertrophy
C – chovtek spasm
M – fasciculations
P - myopathy
Selenium cardiomyopathy
B1 cardiomyopathy (Beriberi)
B2 angular stomatitis (2/3/6)/ glossitis (2/3/9/12/Fe) / dermatitis (nose and scrotum) / vascularisation of cornea
B3 dermatitis (photosensitive), peripheral neuropathy (3/6), (diarrhoea)
B6 peripheral neuropathy
B9 (folate) palour
B12 palour, neuropathy, demyelination
C hypertrophic folliculitis, gingivitis
A – xerosis (corneal dryness/clouding), bitot spots (follicular hyperkeratosis)
D / Cu – metaphyseal flaring
(D also: craniotabes, delayed closure of ant fontanelle frontal bossing, scoliosis/lordosis, rib rosary, bowed legs)
E – neuropathy, ataxia, retinal degeneration
K - bleeding
FBE
- Hb (Fe, B12, folate (B9), E)
- Plt (fat malnutrition)
Nutritional bloods
FBE, EUC, CMP, LFT
Fe, B12, Folate, Zn, Vit D
Kwashiorkor – oedematous > belly
Fats - alopecia, dermatitis (+ low plts)
Zn – alopecia, dermatitis (perioral / perianal)
Fe / B12 / B9 / E = anaemia: palour
Iodine – thyroid hypertrophy
C – chovtek spasm
M – fasciculations
P - myopathy
Selenium cardiomyopathy
B1 cardiomyopathy (Beriberi)
B2 angular stomatitis (2/3/6)/ glossitis (2/3/9/12/Fe) / dermatitis (nose and scrotum) / vascularisation of cornea
B3 dermatitis (photosensitive), peripheral neuropathy (3/6), (diarrhoea)
B6 peripheral neuropathy
B9 (folate) palour
B12 palour, neuropathy, demyelination
C hypertrophic folliculitis, gingivitis
A – xerosis (corneal dryness/clouding), bitot spots (follicular hyperkeratosis)
D / Cu – metaphyseal flaring
(D also: craniotabes, delayed closure of ant fontanelle frontal bossing, scoliosis/lordosis, rib rosary, bowed legs)
E – neuropathy, ataxia, retinal degeneration
K - bleeding
FBE
- Hb (Fe, B12, folate (B9), E)
- Plt (fat malnutrition)
Nutritional bloods
FBE, EUC, CMP, LFT
Fe, B12, Folate, Zn, Vit D