AFMCP Flashcards
What does GOTOIT stand for?
Gather Organize on the Matrix Tell the patient's story Order your priorities Initiate assessment and care Track progress
Define Antecedent
Genetic or acquired factors which predispose an individual to an illness or pattern
(Congenital, trauma, environmental, drug-induced, dietary, occupational, etc)
Define Triggers
Factors provoking signs or symptoms of illness
trauma, microbes, antigens, toxins, radiation, memories, etc
Define Mediators
Biochemical or psychosocial factors that contribute to pathological changes and dysfunctional responses
(Hormones, cytokines, ROS, thoughts, beliefs, social reinforcement, etc)
What does “ABCD” stand for?
Anthropometrics and vitals
Biomarkers and functional labs
Clinical signs from NPE
Diet and lifestyle review
What are the nodes in the matrix?
Biotransformation and Elimination,
Communication (endocrine, neurotransmitters)
Structural (MSK, cell membranes)
Transport (CV, lymph)
Assimilation (GI, respiration, microbiota) Mental/emotional/spiritual
Defense & repair (immune, inflammation, infectious)
Energy (Mitochondria, energy regulation)
What does “PFCMVP” stand for?
Proteins, fats, carbohydrates, minerals, vitamins, phytonutrients
What are anthropometrics suggesting “skinny fat” or metabolically obese?
Normal BMI, increased or normal WC/WHR, increased % body fat
What anthropometrics suggest Metabolic dysfunction?
Increased BMI, WC, WHR & %body fat (android obesity(
What anthropometrics suggest gynoid obesity or overSAT?
Increased BMI & % body fat, increased/normal WC, and normal WHR
(consider gut/detox/hormonal interventions)
What micronutrient deficiencies are associated with angular cheilosis?
B2, B3, B6, folate, B12, biotin, C, Fe, Zn
What micronutrient deficiencies are associated with glossitis?
B2, B3, B6, folate, B12, Fe, protein-energy malnutrition
What micronutrient deficiencies are associated with poor mucocutaneous borders?
B2, B3, B6, Zn
What micronutrient deficiencies are associated with burning mouth syndrome and lip fissures, and candidiasis
BMS & lip fissures - B6
Candidiasis - folate, B12, iron
What micronutrient deficiencies are associated with oral sensitivity, recurrent apthae and stomatitis?
Sensitivity - B1, B6
Recurrent apthae - B2, folate, B12, C
Stomatitis - B3, folate, B12
What micronutrient deficiencies are associated with periodontal disease?
Vitamins A, D, E, beta-carotene
B1, folate, B12, C
Ca, Se
What are the 5 modifiable lifestyle factors?
Sleep & relaxation Exercise & movement Nutrition Stress Relationships
Most people with IgE allergies tend to have what characteristics? (7)
Leaky barrier Bacterial/fungal dysbiosis, SIBO Non-IgE food reactions Cross reactions Nutrient deficiencies: vitamin D, A, B12, Mg, Zn High stress Toxin exposure
What are some natural ACEIs?
Corn protein, egg yolks, bonito, fish sauce, sardines, tuna, garlic, gelatin, Hawthorne berry, casein, pomegranate, kelp, wakame, wheat germ, whey, omega-3, zinc, pycnogenol, melatonin
What herb is a natural beta blocker?
Hawthorne berry
What foods/nutrients are natural direct vasodilators?
celery, fiber, garlic, MUFAs, soy
Arginine, taurine, Alpha linolenic acid, omega-3, Ca, Mg, K, vitamin C, E, flavonoids
What nutrient deficiencies are associated with alopecia areata?
Protein, zinc, iron, copper, biotin
What nutrient deficiencies or conditions can lead to hair thinning?
Protein, zinc, selenium
Hypothyroid, anemia
What nutrient insufficiencies and medications are associated with hyposmia or anosmia?
Zinc, copper, iron, iodine, vitamins A, E, B complex (B2, B3, B5, biotin, folate, B12)
CCBs, cholestyramine, pravastatin, doxy, cipro, carbimazole, codeine, morphine, amitriptyline, phenytoin, nasal decongestants, smoking, cadmium fumes, pesticides; also post-URI, head and dental trauma, AD/PD/MS
What conditions are associated with an enlarged tongue?
Hypothroid, Down syndrome, increased growth hormone, upregulated GALT, sleep apnea, medications
What conditions are associated with tongue scalloping?
Bruxism, sleep apnea, hypothyroid, food sensitivities or allergies, hypoglycemia
What conditions are associated with a red, beefy tongue (non painful)?
Niacin deficiency/pellagra, liver disease
What nutrient deficiencies or conditions are associated with glossitis?
Protein, B2, B3, B6, B9, B12 & Fe
Also protein-energy malnutrition, Crohn’s, celiac, uremia, antibiotics, irritants (tobacco, alcohol, spices), psoriasis, drug reactions
What conditions are associated with white coating on tongue?
dysbiosis w/ increased anaerobes
What conditions are associated with yellow coating on tongue?
Hypochlorhydria, steroid-induced dysbiosis, smoking, increased anaerobes
(Chinese medicine: disorders of the spleen and stomach; yellow = increased heat w/increased thickness suggesting digestive or sleep issues)
What nutrient insufficiencies or conditions are associated with geographic tongue?
Iron, zinc, niacin, B6, folate, B12
Asthma/atopy, T1DM, allergies, psoriasis, smoking
What conditions are associated with central tongue fissure? Transverse fissure? Lambda fissure?
Central: psoriasis, upregulated GALT, autoimmune
Transverse: Sjogrens, syphilis, Melkersson-Rosenthal syndrome
Lambda: inadequate pancreatic/chief cell gastric fxn
What toxins can lead to Burton’s lines?
Cd, Pb, Hg, Cu, cisplatin, bismuth; also Addison’s, chemotherapy
What nutrient insufficiencies are associated with skin findings? (xerosis, follicular hyperkeratosis)
EFA, zinc, vitamin C, vitamin A, B vitamins (+ consider cofactors and adequacy of elongates and desaturases)
What is the duration of time for which nail changes give clues about nutrient status?
The last 4-6 months
What nutrient insufficiencies are associated with spoon nails (koilonychia)?
Protein, cysteine, methionine, iron, copper, chromium, selenium, zinc, riboflavin, niacin, vitamin C
What can cause leukonychia punctate? (white opaque spots)
Insufficient protein, zinc, niacin
Anemia, iron toxicity, Pb, As, infections, hemochromatosis, hypocalcemia, trauma
What can cause leukonychia striata? (transverse leukonychia)
Insufficiencies in protein, zinc, selenium, severe hypocalcemia, niacin;
Selenium toxicity
What are Mees’ lines?
Transverse white lines on nails that move with nail growth and do not fade with nail compression.
Caused by niacin, zinc insufficiency
Also sickle cell, heavy metals, nephrotic syndrome, chemo
What can cause brittle nails?
Malnutrition
Insufficiencies in protein, EFAs, calcium, Mg, Fe, silicon, Zn, biotin, vitamin D
Excess vitamin A, Se
Hypochlorhydria
What can cause nail beading?
Low B vitamins
Also psoriasis, RA, DM, Addisons, hypothyroid
What can cause Beau’s lines? (transverse ridging of multiple fingernails)
Low protein, vitamins A, C, niacin, calcium, iron, zinc
Also: infection, autoimmune, CVD, DM, GI issues, etc
Which nutrient deficiencies are associated with bilateral, symmetric loss of monofilament and vibrational sense?
B12, folate, niacin, Cu, thiamine, B6
What are most common cross-reacting foods with grass allergy?
Melon, orange, watermelon, chard, tomato, rye, wheat
What are most common cross-reacting foods with ragweed allergy?
apple, banana, cantaloupe, honeydew, watermelon, chamomile, stevia, honey, sunflower seed
What are most common cross-reacting foods with tree pollen? (esp birch and alder)
Apple, apricot, cherry, peach, nectarine, carrot, celery, cilantro, parsley
