Nutrition Flashcards

1
Q

Breastmilk at the START of feeding

watery

HIGH lactose and protein

A

FOREMILK

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2
Q

Breastmilk as feeding progresses until towards the end of feeding

creamy

HIGH fat

A

HINDMILK

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3
Q

Stages of Lactation

A

Colostrum (first 0-7 days)

  • PROTEIN rich
  • rich in IgA
  • high in IgG/protective factors - lactoferrin, lysozyme

Transitional milk

  • b/w colostrum and mature milk
  • rising levels of macronutrients

Mature milk

  • D10-14 of life
  • colostrum content + high fat and lactose

Involutionary milk
*produced when breastfeeding frequency decreases

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4
Q

Whey to casein ratio in mature human milk

A

3:2

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5
Q

Breastmilk has MORE compared to formula milk EXCEPTIONS

A

Iron
Vitamin D
Vitamin K

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6
Q

Infants condition PEAK at 4 mos and resolve mostly at 12 mos and nearly all at 24 mos

(+) postprandial regurgitation, signs of esophagitis (irritability, arching, choking, gagging, feeding aversion), failure to thrive

A

GERD

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7
Q

Definitive test for GERD

A

Esophageal pH probe

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8
Q

Diagnosis for GERD

A

Barium study of esophagus and upper GIT (poor sensitivity and specificity)

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9
Q

Contraindications to Breastfeeding

A
Galactosemia
Septicemia
Active TB
Breast cancer
Malaria
Substance abuse
Severe neurosis or psychosis
HIV
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10
Q

Vesiculobulbous, ECZEMATOUS, dry scaly or PSORIAFORM lesions, symmetric PERIORAL, SACRAL and PERIANAL areas

A

Zinc Deficiency

Chronic diarrhea,
Stomatitis	
Glossitis
Irritability
superinfection
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11
Q

Generalized scaly
dermatitis

Alopecia
Thrombocytopenia,
Failure to thrive

A

Essential Fatty Acids

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12
Q

Edema, erythema and

burning of sun exposed skin on the face neck hands on butterfly distribution dermatitis around the neck

A

Niacin (Pellagra)/Vitamin B3

Diarrhea
Dementia
Niacin

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13
Q

Alopecia w/ neurological symptoms

A

Biotin/Vitamin B7

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14
Q

Follicular hyperkeratosis

Xerosis, Night blindness

A

Vitamin A

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15
Q

Follicular hyperkeratosis
Perifollicular erythema and hemorrhage
Bleeding swollen gums

A

Vitamin C

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16
Q

Retinal pigments
Bone
Tooth and Epithelium development

90% BA in breast milk
prematures more vulnerable

A

Vitamin A

17
Q

Bone formation
Rickets and Osteomalacia

Content in breastmilk DEPENDS on maternal status

A

Vitamin D

18
Q

RBC hemolysis in premature infants

Anti-oxidant

A

Vitamin E

19
Q

VKDB

Prevented by prophylaxis

A

Vitamin K

20
Q

Affects bones and joints
Perifollicular hemorrhages
Gum swelling

Scurvy

A

Vitamin C

21
Q

Stores are adequate for 6 mos

Content in breastmilk NOT affected by maternal status

A

Iron

Zinc

22
Q

Content in breastmilk DEPENDS on maternal status

A

Iodine

23
Q

Beri beri

A

B1 (Thiamine)

24
Q

Nonspecific (cheilosis, glossitis)

A

B2 (Riboflavin)

25
Q

Pellagra

A

B3 (Niacin)

26
Q

Microcytic anemia + estrogen pills

A

B6 (Pyridoxine)

27
Q

Alopecia + neurologic changes

A

B7 (Biotin)

28
Q

Megaloblastic anemia

A

B9 (Folic acid)

29
Q

Megaloblastic anemia + Neurologic deficit

A

B12 (Cobalamin)

30
Q
Bowlegs or knock knees
Caput quadratum, Periosteal osteoid
Craniotabes
Ping pong ball sensation
Rachitic rosary, pigeon chest
Harrison groove
A

Vitamin D – RICKETS

31
Q

White line on end of shafts

Scorbutic rosary beads

A

Vitamin C

32
Q

Pellagra
Casal necklace
Pellagrous glove and boots
Glove and boots lesion

A

Vitamin B3 (Niacin)

33
Q

Perleche

A

Vitamin B2 (Riboflavin)

34
Q

Bitot spots
Xerosis conjunctivae
Xerosis cornea

A

Vitamin A deficiency

35
Q

Hyperostosis

Absence of metaphyseal changes

A

Vitamin A intoxication