diet in liver disease
TRANSCRIPT
همایونیدکتر
Diet in liver disease
Nature & Severity of liver disease should be categorized
Child Pugh ScoreModel for end-stage liver disease ( MELD ) Compensated Versus decompensate Subjective Global assessment ( SGA )
Subjective Global Assessment
Historical Component Weight loss
Change in dietary intake
Presence of GI symptom
Functional Capacity
Metabolic demand
Physical examination ComponentEdema
Ascitis
Muscle Wasting
Subcutaneous fat loss
Micronutrient deficiency
DermatitisZinc
Vitamin A
Niacin
Night blindness
Photophobia
HyperkeratosisVitamin A
Burning of the mouth
Burning of the Tongue
Glossitis
Angular stomatitisVita B12
Folate
Easy Bruising Vitamin C
Vitamin K
ParesthesiaThiamin
Pyridoxin
Pallor ( Anemia )Iron deficiency
B12
DTRB12
B1
Laboratory investigationsAlbumin
Creatinin
INR
Vitamin A , D , E , Thiamin
Selenium , Zinc , Vitamin B12 , Folate
Delayed Hypersensitivity &
Total lymphocyte count
AntropometryChange in composition of body
compartment
MAMCMide Arm Muscle Circumference
( Lean tissue store )
SFT Skin Fold Thickness
Miscellaneous TestsDEXA Dual energy X-Ray absorptometry
Deutrium oxide dilution
In vivo neutron activation analysis
Bioelectrical impendence analysis
Energy ExpenditureResting Energy Expediture
Harris Benedict equation
Low Salt
Low Protein
High Carbohydrate
ProteinContent
Essential amino acids
Biologic Value