GLOSSARY

  Acromion- The outer end of the spine of the scapula which projects as a broad, flattened process on the shoulders.
 ABW- Actual body weight
 Albumin- A simple protein widely distributed throughout the tissue and fluids of the body.
 Albuminuria- Albumin in the urine.
 Anemia- a deficiency in the number of red blood cells as a result of rapid blood loss or decreased production.
 Anorexia- loss of appetite
 Anorexia nervosa- a condition marked by prolonged loss of appetite accompanied with weight loss and psychotic symptoms.
 Alkaline phosphatase- enzyme that liberates inorganic phosphate from phosphoric compounds. It acts in alkaline solutions and is present in bone, blood, intestinal wall, kidney, muscle and other tissues.
 Biochemical data- selected components of the blood, serum or urine for determining nutrient status: hemoglobin, RBC, WBC, MCV, ferritin, albumin, sodium, potassium, calcium, phosphorus, glucose, cholesterol, triglycerides, HDL, LDL, serum 25-OH D, serum alkaline phosphatase, ascorbate, or folate. Used for identifying nutrient deficiencies.
 BSA- Body surface area
 BW- Body weight; birth weight; body water
 Calorie- A measure of energy in food or energy expended for activity or exercise. Carbohydrates, protein and fat are sources of dietary calories.
 Dietitian- An expert in nutrition who helps people plan the kinds and amounts of foods to eat for special health needs. A registered dietitian (RD) has completed training and passed a registration examination as required by the Commission on Dietetic Registration of the American Dietetic Association.
 HCT-  Hematocrit; cells and other particulate elements of the blood.
 Kwashiorkor-  severe protein-calorie malnutrition often found in populations with limited resources to buy food. It is often found in developing countries or in pockets of poverty in this country.
 Hemoglobin-  The red, respiratory substance in red blood cells consisting of 6% iron-containing heme and 94% globin, a protein.
 Kcal- Kilocalorie
 IBW- Ideal body weight
 Nephrotic Syndrome- A non-inflammatory disease of the kidney characterized by degeneration of the epithelial lining of the renal tubules and accompanied by edema.
 Nutritionist- Specialist in nutrition. People may call themselves a nutritionist whether or not they have met the qualifications required to become a registered dietitian.
 Olecranon- Tip of the elbow.
 Rickets- A disease occuring in infants and young children characterized by softening of the bones, enlargement of the liver and spleen, and general tenderness of the body when touched.
 Serum- Refers to the fluid portion of the blood obtained after coagulation.
 Selected Signs of Undernutrition -  
 

Indication
Nutrient deficiencies
Apathy, unattentiveness or unresponsiveness to surroundings; irritability: iron, thiamin, protein, niacin, sodium.
Clinical pallor related to skin, nailbeds, mucosa and lips: Folic acid, vitamin B12 and iron
Hair changes in texture (brittle) or color (dyspigmentation), or easily pluckable: protein, vitamin B complex
Eye signs: conjunctiva dryness or xeropthalmia: vitamin A, riboflavin
Mouth changes: swollen, puffy lips or angular lesion at corner of the mouth, bleeding gums, beefy red, fissured tongue and mottled teeth: riboflavin, niacin, vitamins B6, B12, C, iron and fluorine
 Skin changes: sagging folds, purplish discoloration, dryness, scaliness: calorie, protein, vitamin A, B6, C, folic acid, niacin.
Neck - enlargement of thyroid gland: iodine
Potbelly: protein, vitamin D, calcium
Skeletal deformities: bowleggedness, knock-knees: vitamin D, calcium
  Subclinical- Denoting a period prior to the appearance of symptoms in the evolution of a disease.
 Tetany- A disorder marked by intermittent tonic muscular contractions accompanied by fibrillary tremors, paresthesias and muscular pains. Can be caused by deficiency of calcium salts.
 Transferrin- An iron-transferring protein of the blood capable of associating reversibility with iron. The percentage transferring value is an index of iron status.
 Undernutrition,
 causes of -
Decreased nutrient utilization such as drug-nutrient interaction or inborn errors of metabolism or increased nutrient losses. Causes can be classified as primary or secondary
 a. Primary cause: inadequate dietary intake such as poor appetite
 b. Secondary causes: inadequate digestion and absorption secondary to conditions or diseases such as diarrhea, drug-food interaction or dental and swallowing problems; alcohol abuse, blood loss, uncontrolled diabetes, diarrhea or dialysis.
 URI- Upper respiratory infection.
 Xeropthalmia- Extreme dryness of the conjunctiva, which loses its luster and becomes skinlike in appearance; can be caused by deficiency of vitamin A in the diet.


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