Pediatric Nutrition

Question 1

bowlegs or knock knees
caput quadratum, periostial osteoid
craniotabes
pingpong ball sensation
rachitic rosary, pigeon chest
Harrison groove

Answer 1

Vitamin D deficiency

Rickets

Question 2

white line on end of shafts

scorbutic rosary/beads

Answer 2

Vitamin C deficiency

Scurvy

Question 3

pellagra
casal necklace
pellagrous glove and boots
glove and boots lesion

Answer 3

Niacin (B3) deficiency

Question 4

Perieche

Answer 4

Cobalamin (B12) deficiency

Question 5

Bitot spots
xerosis conjunctivae
xerosis cornea

Answer 5

Vitamin A deficiency

Question 6

Hyperostosis

Absence of metaphyseal changes

Answer 6

Vitamin A intoxication

Question 7

deficiency is associated w/ skin ulcers, reduced immune response and hypogonadal dwarfism

Answer 7

Zinc

Question 8

Irritability, pruritus, painful extremities, with brawny swelling, coarse hair, dry skin, seborrhea and increased ICP

Answer 8

Hypervitaminosis A

Question 9

5 y/o male
prone to having diarrhea (usually has episodes every month)
apathetic, underweight
edema of bilateral lower extremities
protuberant abdomen
sparse thin hair w/ reddish streak

Answer 9

Kwashiorkor

Question 10

4 y/o malnourished girl
diarrhea w/ severe dehydration
feeding well and able to finish the regular serving of food given
4th hospital day - seizure and cardiac arrest

Answer 10

Refeeding syndrome