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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
10.00
Unit I:
Nutritional Intervention
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
15.00
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
15.00
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
10.00
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 -Sress types, body’s response (endocrine and metabolic) to short term and long term stress. Role of nutrition in stress coping
• Surgery- pre operative and post operative nutritional care
• Burns –classification, dietary management and mode of feeding
• Trauma –physiological, metabolic and hormonal response to injury,dietary managemant
10.00
Unit V:
Inborn errors of metabolism
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:
