CLINICAL AND THERAPEUTIC NUTRITION -II

Paper Code: 
HFN 421
Credits: 
4
Contact Hours: 
60.00
Max. Marks: 
100.00
Objective: 

Course Objectives:

This course will enable the students to –

1.    Understand the anatomy and functioning of human body system

2.    Understand the pathophysiology of commonly occurring diseases.

3.    Understand the role of diet in the management of various diseases

Course Outcomes (COs): 

 

Course outcomes

(at course level)

Learning and teaching strategies

Assessment

Strategies

  
 

The students will be able to –

COFN96: Comprehend functional organization of different organ systems in the human body.

COFN97: Gain knowledge about causative factors, symptoms and metabolic changes in various diseases/disorders and the associated principles of diet therapy.

COFN98: Apply the knowledge in planning therapeutic diets for the disease conditions

COFN99: Acquire professional diet counseling skills

Approach in teaching:

Interactive Lectures, Discussion, Power Point Presentations, Informative videos, group discussion

 

Learning activities for the students:

Self learning assignments, Effective questions, presentations, Field trips

 

 

Quiz, Poster Presentations, Power Point Presentations, Individual and group projects, Open Book Test, Semester End Examination, discussion, demonstration

 

 

 

  
 
12.00
Unit I: 
UNIT I
Diseases of Gastro-intestinal tract 12 Hrs
• Organs of digestive System – structure and their functions (mouth, salivary gland, pharynx, oesophagus, stomach, small intestine, large intestine)
• Composition, function and regulation of secretions – salivary, gastric, pancreatic, bile and intestinal juices
• Digestion and absorption of nutrients  
• Incidence, etiology, metabolic changes, clinical manifestations, complications and dietary management of the following - Gastro-Intestinal Diseases and Disorders – Gastro Oesophageal Reflux Disorder (GERD), Hiatus Hernia, Gastritis, Diverticular disease, Peptic Ulcer, Haemorrhoids
• Inflammatory Bowel Syndrome, Ulcerative Colitis, Short Bowel Syndrome.
 
12.00
Unit II: 
UNIT II
Diseases related to accessory organs of Digestive system           
• Accessory Organ - Liver, Pancreas, Gall bladder – structure and functions
Incidence, etiology, metabolic changes, clinical manifestations, complications and dietary management for the following –
                                                                                   
• Liver, Gall bladder and Pancreatic diseases
• Liver Diseases –Liver Cirrhosis, Hepatic Encephalopathy (HE)/ Hepatic Coma,
• Pancreatic Diseases – Pancreatitis
• Gall Bladder Diseases – Cholelithiasis, Cholecystitis, Cholecystectomy
• Eating Disorders
 
12.00
Unit III: 
UNIT III
 Diseases of Cardiovascular system                
• Heart – Structure, blood circulation, conducting system of heart, cardiac cycle,  
• Blood composition
• Anatomy of blood vessels and physiology of circulation
• Blood pressure and its control
• Incidence, etiology, metabolic changes, clinical manifestations, complications and dietary management for the following
• Cardio vascular disease (CVD) – Dyslipideimia, Atherosclerosis, Hypertension (HT), Angina Pectoris, Myocardial Infarction (MI), Congestive Cardiac failure (CCF), Rheumatic Heart Disease (RHD) Prevention of CHD.
 
12.00
Unit IV: 
UNIT IV
 Metabolic Disorders
• Endocrine System - Endocrine glands – Pituitary, Thyroid, Parathyroid, Adrenal, Pancreatic Islets, Pineal
• Hormones and their mechanism of action and control of hormone secretions
• Metabolic disorders  
• Diabetes Mellitus (Type 1, Type 2 and Gestational), Gout, Thyroid
• Inborn errors of metabolism 
• Disorders of Amino Acid metabolism – Phenylketonuria, hypertyrosinemia, hypervalinemia, hyperhistidinemia, hyperlysinemia, homocystinuria.
• Disorders of carbohydrate metabolism – Galactosemia, Pentosuria, MSUD
• Disorders of lipid metabolism – Hyperchylomicronemia, hypercholesterolemia – pure and mixed.
12.00
Unit V: 
UNIT V
Diseases related to renal system
• Urinary System    
• Structure and functions of urinary organs, blood supply
• Physiology of urine formation – glomerular filtration
• Urine volume and composition
• Pathophysiology of renal stones
• Fluid, Electrolyte and Acid-base Homeostasis 
• Fluid compartments and fluid balance, Concentration of solution, Electrolytes, Movement of body fluids, Acid base balance
• Renal Diseases – Glomerulonephritis (Acute and Chronic), Nephrotic Syndrome,   Nephrolithiasis (Renal calculi), Nephrosclerosis, Renal Failure (Acute and chronic), End Stage Renal Failure (ESRD), Dialysis (Haemodialysis and Peritoneal Dialysis), Kidney Transplantation
 
Essential Readings: 
• Swaminathan, M.S. (1985). Advanced Textbook on Food and Nutrition. Vol. I & II. The Bangalore Printing & Publishing Co. Ltd. Bangalore.
• Antia, F.P. and Abraham, P. (2001). 4th Edition. Clinical Dietetics and Nutrition. Oxford University Press, Delhi.
• Robinson, C.H. and Lawler, M.R. (1990). Revised 17th Edition. Normal and Therapeutic Nutrition. Macmillan, New York.
• Seth, K.,Kalyani, K. Principles of Medical Nutrition Therapy for positive clinical outcomes (2021). Elite Publishing House.
 
References: 
• Mahan, L.K. & Ecott-Stump, S. (2000): Krause’s Food, Nutrition and Diet Therapy, 10th Edition, W.B. Saunders Pvt. Ltd.
• Shils, M.E.. Olson, J.A., Shike, N. and Ross, A.C. (Ed) (1999) : Modern Nutrition in Health & Disease, 9th Edition, Williams and Wilkins.
• Escott-Stump, S. (2015) : Nutrition and Diagnosis Related Care, 8th Edition, Williams and Wilkins.
• Garrow, J.S., James, W.P.T. and Ralph, A. (2000): Human Nutrition Dietetics, 10th Edition, Churchill Livingstone.
• William’s Essentials of Nutrition and Diet Therapy (2018)  12th Edition. Authors - Eleanor SchlenkerJoyce Ann Gilbert .Times Mirror/Mosby College Publishing.
• Davis, J. and Sherer, K. (1993): Applied Nutrition and Diet Therapy  for Nurses, 2nd Edition, W.B. Saunders Co.
• Walker, W.A. and Watkins, J.B. (Ed) (1985): Nutrition in Pediatrics, Boston, Little, Brown & Co.
• Guyton, A.C. and Hall, J.E. (2010) : Textbook of Medical Phyiology. 12th Edition. W.B. Saunders Co.
• Ritchie, A.C. (1990): Boyd’s Textbook of Pathology, 9th Edition, Lea and Febiger, Philadelphia.
• Fauci, S.A. et al (1998) : Harrison’s Principles of Internal Medicine, 14th Edition, McGraw Hill.
• World Cancer Research Fund, 3rd Expert Report (2017). Diet, Nutrition and Physical Activity – A Global Perspective. Washington E.D. WCRF
• Khanna, K., Gupta, S. and Seth, R. (2001). Textbook of Nutrition and Dietetics, 2nd Edition. Phoenix Pub. House Pvt. Ltd. , New Delhi.
• Bamji, M.S., Rao, N.P. and Reddy, V. (2009) : Textbook of Human Nutrition, 4th Edition. Oxford & IBH Publishing Co. Pvt. Ltd., New Delhi
• Ganong W.F.(2003)-Review of Medical Physiology.21st ed. McGraw Hill.
• Tortora G.J and Grabowski S.R. (2016) Principles of Anatomy and Physiology. 15th ed. John Wiley and Sons.Inc.
• West J.B.(1996): Physiological Basis of Medical Practice .12th Edition. B. I. Waverly Pvt. Ltd.
• Marieb E.N (2001) Human Anatomy and Physiology (5th ed) Pearson Education ,Inc, publishing as Benjamin Cummings.
• Jain A. K (2014) Human Physiology for BDS (5th Edition), Publisher: Avichal Publishing Company; ISBN: 9788177394337 .
• Pal G.K and Pal Pravati (2016) Comprehensive Textbook Of Medical Physiology (2Vols) Publisher:Jaypee Brothers Medical Pub (P) Ltd. ) ISBN:5551234080758
• Ross and Wilson (2014). Anatomy and Physiology in Health and Illness. Authors: Anne Waugh Allison Grant.12th Edition. Churchill Livingstone
 
E RESOURCEs
 
 
 
 
JOURNALS:
• Nutrition Update Series.
• World Review of Nutrition and Dietetics.
• Journal of the American Dietetic Association.
• Indian Journal of Nutrition and Dietetics
• American Journal of Clinical Nutrition.
• European Journal of Clinical Nutrition.     
• Nutrition Reviews.
 
Academic Year: 
2022-2023
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