Clinical AndTherapeutic Nutrition (Theory)

Paper Code: 
HFN 323
Credits: 
4
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: 
  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: 

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: 

1. 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.  

2. Nutrition and stress

Stress 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   
management.

 

10.00
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 ,etilogy,pathology,clinical menifestations,complications dietary management and counselling in Rheumatoid arthritis,osteoarthritis,osteoporosis.

nutritional care of hospitalized patients-Hospital malnutrition ,screening and nutritional assessment of critically ill patients.

 

Academic Year: 
2018-2019
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