Disorder & Pathophysiology Organs affected Bulimia (eating disorder characterized by person bingeing on food) Signs & Symptoms Goes to bathroom after meal, exercise often, use laxatives or diuretics, binge eat, purge Maple syrup urine disease (body is not able to break down amino acids (protein) Nervous system Respiratory system Urinary system Menke’s disease (rare Xchromosome disorder which affects copper metabolism.) Nervous system Integumentary system Musculoskeletal system Urinary system Cardiovascular Anorexia (psychological eating disorder characterized by not eating) Affects all body system and organs Kwashiorkor and Marasmus (protein energy malnutrition. Kwashiorkor low protein with enough calorie intake, Marasmus low protein and calorie intake) Kwashiorkor: Lymphatic system Marasmus: Musculoskeletal system Niemann-Pick disease type C (inability to metabolized fats which accumulates in various tissues) Liver Spleen Brain Bone marrow Appendicitis (inflammation of the appendix due to obstruction or fluid build-up) Immune system Digestive system Abdominal cavity Celiac disease (intolerance to gluten due to damage to Digestive system Immune system Integumentary system Difficulty feeding, lethargy, seizures, areflexia (decreased reflex), intermittent hypertonicity, respiratory problem Pili torti (kinky hair), failure to gain weight, deterioration of nervous system, weak muscle tone, seizure Extreme weight loss, dry yellow skin, fatigue, abdominal pain, constipation hair loss, amenorrhea (due to lack of nutrients), depression Kwashiorkor: pitting edema on lower extremities, distended edema, enlarged liver, thin hair, teeth loss, dermatitis Marasmus: severe muscle wasting, loss of subcutaneous fat, wrinkled skin, hair loss, low energy, stunted growth, dry skin Jaundice/cholestasis (decrease bile) in children, ataxia, vertical gaze palsy, enlarged liver and spleen, interstitial lung disease, problem with speech and swallowing, progressive decrease of intellectual function Severe RLQ pain, mild fever, inability to pass gas, loss of appetite, N&V, constipation, diarrhea Abdominal bloating, chronic diarrhea, constipation, gas, Diagnostic Tests & Treatment Physical exam, CBC, electrocardiogram, psychological evaluation, Xrays. Psychotherapy, antidepressants, nutrition and education Spectrometry, newborn screening test. Stop protein intake, increase calorie intake, monitor BCAA level every 12 hours, Serum copper level, fibroblast cell culture, light microscopy of hair, electroencephalograms. No specific treatment, copper chloride IV, viral gene therapy, vitamin C and R, penicillin Physical exam, CBC, comprehensive metabolic panel, psychological evaluation, X-rays, electrocardiogram. Refeeding slowly, psychological therapy (family based), hospitalization (severe) Physical examination, arterial blood gas, BUN, blood level of creatinine and potassium, urinalysis. Slow refeeding to avoid refeeding syndrome, balanced diet, antibiotics, rehydration solution of malnutrition Genetic testing. No treatment because it’s genetic, supportive care, medication CBC, rebound tenderness, CT scan, MRI, ultrasound, PSOAS test. Appendectomy (surgery), antibiotic therapy, drain abscesses in appendix Blood test, intestinal biopsy, skin biopsy, genetic test. Gluten free diet inner lining of small intestine) Ulcers (sore/break in the lining of GI tract mucosa. Commonly caused by H. pylori or long term use of aspirin or NSAIDs) Colitis (inflammation of the large intestine or colon) Diverticulosis (small, bulging pouches develop in smooth muscle of intestinal wall) Digestive system Immune system Urinary system Digestive system Rectum and colon Large intestine especially sigmoid colon Chron’s disease (chronic inflammation of the GI tractileum and beginning of colon) fatty stool, stomach pain, N&V, weight loss, anemia Burning/ cramp like sensation, back pain, bloating, N&V, black stool Diarrhea, bloody stool, rectal pain or bleeding, increase urge to defecate, abdominal pain, dehydration, chills and fever, fatigue, weight loss No symptoms, unexplained painful cramps on LLQ Frequent reoccurring diarrhea, abdominal cramping, reduced appetite, melena (dark stool), weight loss, fever Weight loss, constipation, diarrhea, blood in stool, bloating, cramps, jaundice, pain in abdomen Colorectal cancer (growth of abnormal cells in the colon or rectum) Colon Rectum Hepatitis (inflammation of the liver) Liver Thyroid gland Blood circulation Digestive system Nervous system Integumentary system Fatigue, jaundice, loss of appetite, N&V, dark-colored urine, gray colored stool, pruritus Mumps (inflammation of the parotid glands) Salivary glands Testicles Ovaries Inner ear CNS Painful and swollen salivary glands, testes or ovaries, headache, moderate fever, muscle aches, fatigue, loss of appetite Endoscopy, CBC, urinalysis, liver enzymes, urea breath test. Nutrition therapy, medication (PPIs, antibiotics) CBC, CT scan, MRI, sigmoidoscopy, colonoscopy. Drug therapy (anti-inflammatory drugs, antibiotics), proctocolectomy (surgery) CT scan with oral contrast, CBC, urinalysis, FOBT, barium enema, colonoscopy. Change in diet, increase water intake, bulk laxatives CT-scan, X-rays, MRI, endoscopy, blood test. Antibiotics, aminosalicylates, corticosteroids, immune modifiers CBC, blood chemistry tests, stool test. Surgery, chemoradiation, radiation therapy, immunotherapy, target therapy drugs Physical exam, blood test, transient elastography, liver biopsy. No specific treatment for acute, antiviral medications, healthy balanced diet, avoid alcohol, liver transplant PCR test, serology test. Respiratory isolation, analgesics & antipyretics, consumption of fluid, vaccines (prevention)