Malabsorption and malnutrition- micronutrients

Question 1

Maldigestion

Answer 1

Chronic pancreatitis

Cystic fibrosis

Pancreatic carcrinoma

Question 2

Inadequate absorptive surface

Answer 2

Intestinal resection

Gastro colic fistula

Jejuno- ileal bypass

Question 3

Bile salt deficiency

Answer 3

CIrrhosis

Cholestasis

Bacterial overgrowth

Impaired ileal reabsorption

Bile salt binders

Question 4

Lymphathic obstruction

Answer 4

Lymphoma

Whipple’s disease

Intestinal lymphangiectasia

Question 5

Vascular disease

Answer 5

Constrictive pericarditis

Right sided heart failure

Mesenteric arterial or venous insufficiency

Question 6

Mucosal disease

Answer 6

Infection

Whipple’s disease

Tropical sprue

Inflammatory disease

Radiation enteritis

Eosinophilic enteritis

Ulcerative jejunitis

Question 7

Malnutrition and acutely ill patients

Answer 7

Failure to recognise nutritional need on admission

Increased energy demand during inflammatory responses

Prolonged periods of time ‘nil by mouth’

Impact of cognitive impairment on eating

Reduction in appetite

Question 8

Nutrition guidelines

Answer 8

Eatwell plate

Mediterranean diet

DASH diet