CLINICAL AND THERAPEUTIC NUTRITION (THEORY)

Paper Code: 
HFN 323
Credits: 
04
Contact Hours: 
60.00
Max. Marks: 
100.00
Objective: 
This course will enable the students to -
Understand the underlying changes during diseases.
Understand the role of diet in the management of various diseases Enabling them to understand  nutrition management in infection, stress and special conditions
Enabling them to understand  nutrition management in infection and stress 
8.00
Unit I: 
Nutritional Intervention
1. Nutritional Intervention – Diet modifications
2. Special feeding methods in nutritional support
3. Significance of Anti inflammatory foods
4. Nutritional management of food allergies and food intolerances.
4.   Diet, nutrient and drug interaction 
Basic concept 
Effect of Nutrition on drugs
Effect of drug on Nutritional status, food intake, digestion, absorption and metabolism of nutrient.
Drug and drug interaction 
12.00
Unit II: 
Incidence, etiology, metabolic changes, clinical manifestations, complications and dietary management for the following -
Gastro-Intestinal Diseases and Disorders –Oesophagitis, Gastro Oesophageal Reflux Disorder (GERD), Hiatus Hernia, Dyspepsia, Gastritis, Diverticular disease, Peptic Ulcer, Malabsorption Syndrome 
(Celiac disease, Tropical sprue, Steatorrhoea, Lactose intolerance) Inflammatory Bowel Syndrome, Ulcerative Colitis, Short Bowel Syndrome.
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
16.00
Unit III: 
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.
Metabolic disorders - Diabetes Mellitus, Gout
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.
Cancer
5.00
Unit IV: 
Nutrition immunity and infection
Innate and adoptive immunity, primary and secondary lymphoid organs, cell mediated and humoral immunity, T and B lymphocytes, antibody response, primary and secondary infection, role of nutrition in immune functions, immune aberration – HIV infection and AIDS.  
 
Nutrition and stress 
Sstress types, body’s response (endocrine and metabolic) to short term and long term stress. Role of nutrition in stress coping.
Ssurgery – pre-operative and post-operative nutritional care.
Bburns – classification, dietary management and mode of feeding.
Ttrauma – physiological, metabolic and hormonal response to injury, dietary       management.
 
4.00
Unit V: 
Inborn errors of metabolism
Disorders of Amino Acid metabolism – Phenylketonuria, hypertyrosinemia, hypervalinemia, hyperhistidinemia, hyperlysinemia, homocystinuria.
Disorders of carbohydrate metabolism – Galactosemia, Pentosuria.
Disorders of lipid metabolism – Hyperchylomicronemia, hypercholesterolemia – pure and mixed.
 
Incidence, etiology, pathology. clinical manifestations, complications, dietary        management and counseling in Rheumatoid arthritis, osteoarthritis, osteoporosis
 
Nutritional care of hospitalized patients - Hospital malnutrition, screening and nutritional assessment of critically ill patient
Academic Year: