***clinical Eval Other Flashcards
boots spots on eyes
A def
dry eyes
A EFAs
nightblindness
A Zn
pale conjunctiva
Fe
Blue sclera
Fe
retinal haemorrhage
Fe
Photophobia
B2
B3
Zn
no lashes/brows
Cu - Zn excess?
premature greying - hair
B12
biotin
protein
nasolabial dermatitis
B2
butterfly rash around nose
B3
acne rosacea
lupus
painful scaly greasy red rashes on ears & eyelids
B2
cyanosis in cold weater
protein
thin dull grey skin
protein
pallor
B9, B12, biotin
dry scaly dermatitis - symmetrical distribution over nose, mouth and eyes progressing to pustular/erosive
Mg
hyper pigmentation of malar, mouth, eyes
protein
inelastic skin
Cu
hair loss
EFAs
Fe
Se
protein
Thinning hair with loss of colour
biotin
brittle dry lustreless hair
Fe
protein
garlic breath
Se
metallic taste
Se
Oedema - face
E
perifollicular hyperkeratosis
A
B complex
EFAs
C
ideal BP
90-120/60-80
low BP
70-90/40-60
pre high BP
120-140/80-90
high BP
140+/90+
causes of secondary hypertension
renal/endocrine disease steroids OCP NSAIDs Cyclosporin alcohol smoking pre-eclampsia
ausculatory gap
In v high BP - a gap between systolic & diastolic readings
ragland test checks for
adrenal hypofunction
thyroid disease
diabetes
hypertension sx
usually none headaches dizziness flushing awareness of heartbeat apitaxis excess protein/blood in urine hypertensive retinopathy
hypotension sx
usually none dizziness weakness reduced exercise tolerance visual disturbance cognitive impairment shock is v low BP
v dark yellow, orange, brown urine
jaundive
unpleasant smell urin
UTI
v pale stools
not enough bile
green stools
toxic matter from gall bladder
white mucus in stool
GIT dysbiosis
infection
immune response
v dark stools
slow transit
hypothyroid
orange stools
bile/lipase def
black tarry stools ‘melena’
red flag
cancer
floating stools
too much fat/too little bile
sinking stools
heavy with decaying matter
unabsorbed minerals
thin stools
tension - colon contracted
dry stools
dehydration slow transit low fibre stress low thyroid
idea stool
bobs
3-5 on BST
magenta smooth shiny sore tongue
photophobia
nasolabial dermatitis
painful, scaly, greasy red rashes on ears/eyelids
B2 def
bright red raw beefy smooth shiny sore tongue
photophobia
butterfly rash around nose
B3 def
red painful tongue with medial fissure not to tip
central longitudinal ridges on nails
pallor
B9 def
red painful, smooth shiny tongue with medial fissure not to tip thin brittle nails brown grey nails premature greying pallor
B12 def
thin brittle nails
premature greying
pallor
thinning hair with loss of colour
Biotin def
smooth shiny sore tongue with medial fissure not to tip spoon nails central longtitudinal nail ridges pale conjunctiva blue sclera hair loss pallor
Fe def
impaired taste
Beau’s lines
nigh blindness
photophobia
Zn def
