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 –

  • Understand the anatomy and functioning of human body system
  • Understand the pathophysiology of commonly occurring diseases.
  • Understand the role of diet in the management of various diseases

Course Learning Outcomes (COs):

Course

Learning outcomes

(at course level)

Learning and teaching strategies

Assessment

Strategies

Paper Code

Paper Title

 

 

 

 

 

 

 

HFN 421

 

 

Clinical & Therapeutic Nutrition – II

(Theory)

 

 

 

 

 

The students will be able to –

COFN92: Comprehend functional organization of different organ systems in the human body.

 

COFN93: Gain knowledge about causative factors, symptoms and metabolic changes in various diseases/disorders and the associated principles of diet therapy.

 

COFN94: Apply the knowledge in planning therapeutic diets for the disease conditions

 

COFN95: 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: 
Diseases of Gastro-intestinal tract
  • 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, Dyspepsia, Gastritis, Diverticular disease, Peptic Ulcer, Haemorrhoids

  • Malabsorption Syndrome (Tropical sprue, Steatorrhoea, Lactose intolerance), Inflammatory Bowel Syndrome, Ulcerative Colitis, Short Bowel Syndrome.
  • Bariatric surgery
12.00
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

a. Liver Diseases –Liver Cirrhosis, Hepatic Encephalopathy (HE)/ Hepatic Coma,

b. Pancreatic Diseases – Pancreatitis

c. Gall Bladder Diseases – Cholelithiasis, Cholecystitis, Cholecystectomy

  • Eating Disorders

 

12.00
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: 
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: 
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. (1997). Clinical Dietetics and Nutrition. Oxford University Press, Delhi.
  • Robinson, C.H. and Lawler, M.R. (1986). Normal and Therapeutic Nutrition. Macmillan, New York.
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. (1998) : Nutrition and Diagnosis Related Care, 4th Edition, Williams and Wilkins.

Garrow, J.S., James, W.P.T. and Ralph, A. (2000) : Human Nutrition Dietetics, 10th Edition, Churchill Livingstone.

Williams, S.R. (1993) : Nutrition and Diet Therapy, 7th Edition, Times Mirror/Mosby College Publishing.

 Davis, J. and Sherer, K. (1994) : 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. (1999) : Textbook of Medical Phyiology, 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 9[1997). Food, Nutrition and the Prevention of Cancer – A Global Perspective. Washington E.D. WCRF

Khanna, K., Gupta, S. and Seth, R. (1999). Textbook of Nutrition and Dietetics, Phoenix Pub. House Pvt. Ltd. , New Delhi.

Bamji, M.S., Rao, N.P. and Reddy, V. (1999) : Textbook of Human Nutrition, Oxford & IBH Publishing Co. Pvt. Ltd., New Delhi

Ganong W.F.(2003)-Review of Medical Physiology.21st ed. McGraw Hill.

Guyton A.C. and Hall J.E. (2000) Textbook of Medical Physiology.10th ed. India: Harcourt  Asia..

Tortora G.J and Grabowski S.R. (2000) Principles of Anatomy and Physiology. 9th 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(1973). Foundation of Anatomy and Physiology, Medical Division of Longman Group Ltd.

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: 
2019-2020
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