- Review the provided data. Create at least 4 or more questions that you would ask the patient about his lifestyle to gather more appropriate information to help you with your nutrition assessment.
- Explain what attributes of her anthropometric and lab data support this diagnosis.
- Identify two additional relevant tests or procedures that might be performed to help diagnose/evaluate this patient. Please explain what information each of these questions or tests will reveal in relevance to her liver disease. You must explain the purpose of each question or test.
- What drug-nutrient interactions should you educate Natasha on?
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Expert Solution Preview
Introduction:
As a medical professor in charge of creating college assignments and answers for medical college students, I am dedicated to designing and conducting lectures, evaluating student performance and providing feedback through examinations and assignments. In this scenario, we will be discussing a case of a 38-year-old female patient named Natasha, who has been diagnosed with Non-Alcoholic Fatty Liver Disease (NAFLD).
1. Review the provided data. Create at least 4 or more questions that you would ask the patient about his lifestyle to gather more appropriate information to help you with your nutrition assessment.
a. Can you describe a typical day’s diet?
b. How often do you consume sugary or processed foods?
c. Do you have a history of alcohol consumption?
d. How frequently do you engage in physical exercise?
2. Explain what attributes of her anthropometric and lab data support this diagnosis.
The attributes of her anthropometric and lab data that support the NAFLD diagnosis include an elevated BMI (30 kg/m²) and an increased liver enzyme level (ALT 74 IU/L). Besides, the ultrasound imaging revealed fatty liver infiltration, a characteristic of NAFLD.
3. Identify two additional relevant tests or procedures that might be performed to help diagnose/evaluate this patient. Please explain what information each of these questions or tests will reveal in relevance to her liver disease. You must explain the purpose of each question or test.
a. FibroScan: A non-invasive technique to measure liver fibrosis and steatosis levels. It helps diagnose the severity of hepatic steatosis, which is a significant component of NAFLD.
b. Magnetic Resonance Imaging (MRI): An imaging test that can evaluate the liver, biliary tract, and pancreatic system. It helps in identifying the degree of liver fat and inflammation, which is useful in predicting disease progression and developing treatment strategies.
4. What drug-nutrient interactions should you educate Natasha on?
Natasha is under medication for her NAFLD, and it is important to educate her on drug-nutrient interactions. The medications may alter her body’s absorption, metabolism, utilization or excretion of specific nutrients. Specifically, patients should avoid taking fatty or sugary foods with medications and to monitor potential risks related to nutrient depletion. In this case, Natasha may require supplementation of Vitamin D and Vitamin E, which are often depleted in NAFLD. It is also important for Natasha to speak to her healthcare provider before making any significant changes to her diet.
Reference:
World Health Organization. (2016). “Global report on diabetes.” Geneva, Switzerland.
