CLINICAL CLUES
CASE FILES
NUTRITION GOALZ
DIET DETECTIVE
600

Infectious disease caused by M. tuberculosis

PULMONARY TUBERCULOSIS (PTB)

600

A patient with hypertension has his blood pressure still elevated despite medications. Admits to eating instant noodles and processed meats almost every day.

LOW SODIUM DIET

600

Primary Nutrition goal for CKD patient with hyperkalemia

REDUCE INTAKE OF POTASSIUM

600

Patient with iron deficiency anemia = High Iron Diet

 ALLOWED

700

Sudden, rapid decline in filtering function within hours or days, often caused by severe dehydration, infections, or pain medication overuse.

Acute Kidney Injury (AKI)

700

A patient with acute pancreatitis reports severe abdominal pain that worsens after eating greasy foods

LOW-FAT DIET

700

Primary nutrition goal for a patient with iron-deficiency anemia and low hemoglobin

INCREASE IRON INTAKE

700

A patient with advanced CKD = DASH diet

RESTRICTED (DASH DIET (Dietary Approaches to Stop Hypertension) is indicated for Hypertension. The standard DASH diet is high in potassium, phosphorus, and sometimes protein which may not be suitable for CKD patients.

800

Ranks a carbohydrate-containing foods on a scale from 0-100 based on how rapidly they turn into blood glucose compared to a reference

GLYCEMIC INDEX

800

A patient with CKD has her potassium levels elevated. Shares that she enjoys eating bananas, oranges, and tomatoes every day.

LOW POTASSIUM DIET

800

Primary nutrition goal for a CKD patient with hyperphosphatemia

REDUCE PHOSPHORUS INTAKE

800

A patient with cancer experiencing nausea and vomiting = Bland diet

ALLOWED (Nutrition intervention for Nausea/Vomiting side effect is bland foods, small meals, avoid greasy foods)

900

A condition characterized by an extreme limitation of food intake or variety due to sensory aversion (textures, smells) , low appetite or fear of negative consequences like choking.

AVOIDANT RESTRICTIVE FOOD INTAKE DISORDER (ARFID)

900

A patient has gout and experiences recurrent episodes of painful swelling in the big toe. Frequently consumes liver, sardines, and beer.

LOW-PURINE DIET

900

Primary nutrition goal for a patient with liver cirrhosis and ascites

REDUCE SODIUM INTAKE

900

A patient with refeeding syndrome risk after prolonged starvation = Slow, gradual, caloric advancements with electrolyte monitoring

ALLOWED (Gradual increase of calories reduces the risk of dangerous electrolyte shifts)

1000

A severe wasting syndrome common in advanced cancer.

CANCER CACHEXIA

1000

A patient with COPD has unintentionally lost 9kg over the past 4 months. Becomes fatigued during meals and has noticeable muscle wasting.

HIGH CALORIE DIET AND HIGH PROTEIN DIET

1000

Primary nutrition goal for a CKD patient with fluid overload and edema

RESTRICT FLUID AND SODIUM INTAKE

1000

A patient with Dumping syndrome after gastrectomy = Simple sugars; eat small frequent meals

RESTRICTED(Low carbohydrate diet is indicated for dumping syndromes.  Simple sugars empty rapidly into the intestine, worsening dumping syndrome symptoms. )

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