Nutrition-Focused Physical Exam · an Illustrated Handbook by Hamilton, Cindy -- Read -- Imperial Library of Trantor

Index

Cover Preface Contents 01. Introduction 02. Preparation for the Physical Exam

Overview Systematic approach to a nutrition assessment Assessment and interview techniques and tips Exam techniques and tips Exam techniques using inspection/palpation

03. Inflammation

Overview Common diagnoses associated with etiology of malnutrition (Table 1) Markers of inflammation: vital signs (Table 2) Markers of inflammation: biochemical markers (Table 3) Imaging studies (Table 4)

04. Physical Exam of Subcutaneous Muscle and Fat Stores

Overview Special considerations: obesity, critical illness, and sarcopenia Additional tools for body composition assessment Head-to-toe approach

Head and face Upper chest Upper back Midaxillary line Arms Hands Lower extremities

05. Assessment of Fluid Status: Accumulation and Dehydration

Overview Fluid accumulation/edema Impact of edema on nutrition Academy-ASPEN fluid accumulation characteristics that support a diagnosis of malnutrition (Figure 1) Differential diagnosis of edema (Table 1) Medications known to cause generalized/peripheral edema (Table 2) Terminology used to describe edema (Table 3) Grading of pitting edema (Table 4) Evaluation of fluid accumulation/edema (Table 5) Dehydration Labs and vital signs associated with dehydration (Table 6) Areas of focus to evaluate for dehydration (Table 7)

06. Examination of Functional Status

Overview Reduced grip strength as a supportive clinical characteristic for malnutrition (Table 1) Measuring functional status Techniques for using a dynamometer

07. Assessment of Micronutrient Status

Overview Skin Nails Hair Orofacial

08. Appendix: Nutrition-Focused Physical Exam Checklist Back Cover