Malnutrition Flashcards
What does cholesterol form?
Steroids hormones
What are the 2 roles of vitamins?
> cofactors involved in enzymatic reactions
(water soluble vitamins ONLY)
> antioxidants
What is a syndrome?
a collection of symptoms that forms a distinct clinical condition
What are the 4 examples of protein energy malnutrition?
Kwashior Kor
Cachexia
Phthitis
Marasmus
What is the cause of Kwashior Kor?
Lack of protein in diet
What are the symptoms of Kwashior Kor?
Oedema Diarrhoea Potbelly Changes in hair + nails Desquamating skin rash Decrease in linear growth
What is oedema?
Excessive accumulation of fluid in tissues
What are the 2 types of oedema?
Which type of oedema occurs in Kwashior Kor?
> Pitting = press down, remove + v slowly springs back to original shape
Non-pitting
Pitting
What are the 2 ‘areas’ oedema can occur?
Local
- e.g. after injury/inflammation
General
- more serious (can have heart/kidney failure)
In which parts of the body can general oedema occur?
What are the names for these conditions?
> within chest cavity
= ‘plural oedema’
> abdomen
= ‘ascites’
> within alveoli
= ‘pulmonary oedema’
What causes oedema?
Decrease in albumin
Where is albumin produced?
What are its 2 roles?
Liver
from amino acids
Act as a carrier
Maintains colloid osmotic pressure
–> exerts attractive force that helps to keep water in blood
How does a decrease in albumin lead to oedema in Kwashior Kor?
Reduction in protein intake -> decreased amino acids -> decrease in albumin produced -> lower attractive force on water in blood = water moves into interstitial space
Define diarrhoea
Bowel movements of increased frequency, volume + liquidity
What are the 3 types diarrhoea?
Which type of diarrhoea is involved in Kwashior Kor?
Osmotic
Malabsorptive
Secretory
Malabsorptive
What is osmotic diarrhoea?
What can this be induced by?
When water is drawn out of cells into the lumen of the intestine
Chemicals
e.g. sorbitol in sugar-free sweets
What is malabsorptive diarrhoea?
Reduced ability to digest/absorb nutrients
due to reduction in digestive enzymes (pancreas) + reduction in absorption (intestine)
- > partially digested food enters the large intestine
- -> stimulates diarrhoea
How long do cells at the tip of villi in the small intestine live for?
How are they replaced?
2-3 days
By stem cells differentiating
Through which 2 ‘mechanisms’ does partially digested food enter the large intestine?
Intestine
Pancreas
What are the 6 types of cells in the small intestine?
Goblet cells Enterocytes Pit cells Stem cells Enteroendocrine cells Paneth cells
What do goblet cells do?
Secrete mucus:
> protects epithelium from stomach acid
> lubricates food
What do paneth cells do?
Produce bactericidal lysozyme
What do enterocytes do?
Absorptive
located at ends of villi