NTDT451 Quiz: NAFLD adime
9 Jun 2017
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Overview information: 38 y/o male, enlarged liver, referred to outpatient gastroenterology clinic. Physical activity: works long shifts (not necessarily active) Likes all meats, rice or noodles, fruit, vegetables. Breakfast: coffee, milk and sugar, doughnut or pastry. Lunch: sub sandwich or burger, chips or fries, slice of pie or cookies, soda. Dinner: meat, 1-2 c short grain rice, vegetables, kimchi, fruit. Excessive energy intake related to consumption of undesirable foods and limited physical activity as evidenced by diet history and bmi of 31 (obese). Excessive fat intake related to hyperlipidemia as evidenced by usual dietary intake (foods high in saturated fat and sugar), and presence of hepatic steatosis as stated by md. Prescription: 105g pro and 1,920 kcal per day (weight loss; based on ibw) Recommend: nutrition education: educate pt and wife on nafld, how diet of sugar and saturated fat contributes, provide learning materials/handouts for nafld, have pt keep food diary to keep track of diet history for next visit.
