Patient on chronic TPN presents with hyperglycemia, insulin resistance ,peripheral neuropathy and weight loss. what nutirient is most likely deficient
Best known for causing scurvy when deficient
Defeciency in iron
Absorption of this vitamin requires adequate biliary and pancreatic function
Deficiency is rare but symptoms include dermatitis, alopecia and paresthesia
Test used to monitor zinc deficiency
Severe deficiency leads to failed synthesis of adenosine triphosphate and an energy deficit
Phenytoin may cause a deficiency in this micronutrient
Is associated with megaloblastic anemia when deficient
Short Gut patient presents with ataxia, loss of proprioception, peripheral neuropathy, anemia and leukopenia. What deficiency may we be looking at?
Iron administration decreases the absorption of this and copper
Accumulates in the brain at toxic levels and seen on MRI as hyper-intense signal in basal ganglia. Patient has Parkinson like symptoms
Verticales
Copper Toxicity may lead to this
Risk factor for micronutrient abnormality
Deficiency may be a contributing factor to the rise of serum triglyceride concentration
Main manifestation of deficiency is microcytic anemia
It regulates induction of proteins that enable the gut enerocytes to transport the calcium inthe plasma
Required for bone, vision and immune function
Usually added when patient has been on TPN for extended period of time
Micronutrient absorbed int eh jejunum
Required in blood clotting
Patient presenst with mental confusion, slurred speech, diarrhea and skin lesions. He also has a history of multiple GI surgeries following complications from perforation. What nutient might he be deficient in?
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