CUNY SCR 270 - Alteration in Nutrition (96 pages)

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Alteration in Nutrition



Previewing pages 1, 2, 3, 4, 5, 6, 45, 46, 47, 48, 49, 50, 51, 91, 92, 93, 94, 95, 96 of actual document.

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Alteration in Nutrition

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Pages:
96
School:
The City University of New York
Course:
Scr 270 - Parent Child Nursing

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ALTERATIONS IN NUTRITION Study Guide 15 By Professors Dillon and Hidle Updated Spring 2010 Nutritional Problems To be covered Cleft lip and cleft palate Pyloric stenosis Intussusception Celiac disease Hirschprung s disease Espophoteal and tracheoesophageal fistula Failure to thrive Diabetes Pediatrics CLEFT LIP CLEFT PLALATE Cleft lip is a opening in the upper lip alone while a cleft palate is an separation in the hard palate roof of the mouth or the soft palate tissue in the back of the mouth Cleft lip can range from a slight notch to a complete separation from the floor of the nose Cleft lip in males or lip in combination with palate occur in about 1 in every 1 000 white babies slightly higher in American Indians about 3 6 per 1 000 and less frequently in African Americans approximately 1 per 2 500 Cleft palate can include nasal distortion midline or bilateral cleft with extensions to the uvula or soft hard palates Cleft palate in females is seen less often in about 1 in 2 000 babies with no differences noted in racial groups Either can be found in isolation of the other or they can occur together cleft lip palate Cleft Palate Unilateral Cleft Lip and Palate Bilateral Cleft Lip Unilateral Cleft Lip and Palate Bilateral Cleft Lip ETIOLOGY Both occur because of incomplete development of the lip and or palate in the early fetal development lip and primary palate begin to develop between 4 to 6 weeks gestation with the hard palate complete by about week 9 10 Although causes are not clearly understood some medication side effects have been associated with cleft formation i e sulfa drugs anticonvulsive drugs as well as genetic factors environmental factors infections maternal illnesses maternal alcohol use and possibly deficiency of folic acid Cleft palate does not seem to be associated with anticonvulsive drug use or maternal alcohol use Frequently cleft defects frequently accompany other defects about13 DIAGNOSIS There are no laboratory tests other than X ray to see



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