Recognize Malnutrition but Avoid Refeeding Syndrome

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Refeeding syndrome

We report a case of a fifty-year-old male who was admitted with a three month history of increasing weakness, prostration, decreasing appetite and inability to swallow. The patient was a chronic alcoholic, unemployed, and of very poor socioeconomic background. The patient was initially investigated for upper GI malignancy, Addisons disease, bulbar palsy and other endocrinopathies. Concurrent ma...

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Refeeding Syndrome.

• Case #1: A 3-month-old infant is directly admitted to the hospital by his pediatrician for failure to thrive. • Case #2: A 16-year-old girl with anorexia nervosa fails outpatient treatment and is referred for emergency department evaluation. Five months ago, the patient’s body mass index (BMI) was 18 and Z-score was -1.05, indicating mild malnutrition. Her current BMI is 14 and Z-score is -3....

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Refeeding syndrome in cancer patients.

BACKGROUND Refeeding syndrome (RFS) is a common, yet underappreciated, constellation of electrolyte derangements that typically occurs in acutely ill, malnourished hospitalised patients who are administered glucose solutions or other forms of intravenous or enteral nutrition. DISCUSSION The hallmark of RFS is hypophosphataemia, but hypokalaemia and hypomagnesaemia are also common. Patients wi...

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The Ochoa urofacial syndrome: recognize the peculiar smile and avoid severe urological and renal complications

Ochoa syndrome is rare and its major clinical problems frequently unrecognized. We describe facial characteristics of six patients to help health professional recognize the inverted smile that these patients present and refer them to proper treatment. Patients' medical records were reviewed and patients' urological status clinically reassessed. At last evaluation patients' mean age was 15.5 yea...

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Refeeding Syndrome: A Literature Review

Refeeding syndrome (RFS) describes the biochemical changes, clinical manifestations, and complications that can occur as a consequence of feeding a malnourished catabolic individual. RFS has been recognised in the literature for over fifty years and can result in serious harm and death. Crude estimates of incidence, morbidity, and mortality are available for specific populations. RFS can occur ...

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ژورنال

عنوان ژورنال: The American Journal of Medicine

سال: 2018

ISSN: 0002-9343

DOI: 10.1016/j.amjmed.2017.12.032