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
  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.
  5. 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: 
Eating Disorders

  • 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: 
Dietary management

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
  • 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

 

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