MNT for Musculoskeletal Diseases

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1
composed of the bones cartilages, joints and muscles of the body together with associated structures such as ligaments and tendons
Musculoskeletal System
2
The MS consitutes more than _% of the body
70%
3
MS disorders can adversely affect?
  • Respiration
  • Digestion
  • Nervous system function
  • Nutritional Status
4
loss of bone mass and deterioation of the bone microarchitecture compromised bone strength and susceptibility to fracture and morbidity
Osteoporosis
5
stoped over posture, also called the dowager's hump
Kyphosis
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How do you diagnose Osteoporosis? What is the T-score indicative of Osteoprosis?
Measure bone mineral density, 2.5 or less
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MNT goal for Osteoporosis?
Slow down rate of bone mineral loss and BMD
8
What microminerals must be adequate for patients with Osteoporosis?
Calcium and Vitamin D
9
a disease the occurs during periods of bone growth, failure of bone osteoid to calcify among children and adolescents
Rickets
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develops after bone growth is complete, failure of bone osteoid to calcify in adults
Osteomalacia
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What is the MNT for Rickets and Osteomalacia?
Vitamin D: 600 IU for 1-70 years old; 800 IU for over age 70
Elemental calcium: 1500 to 2000 mg
12
formally known as degenerative joint disease, more specifically the joint cartilage. there are cartilage fragments in the fluid
Osteoarthritis
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This test will look for infection or crystals in the fluid; results can help rule out other medical conditions or other forms of arthritis
Joint Aspiration or Joint Fluid Analysis
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This test can show joint or bone damage or changes related to osteoarthritis
X-ray
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This test gives a better view of cartilage and other parts of the joint
Magnetic resonance imaging (MRI)
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MNT for Osteoarthritis? (3)
1. Balanced diet, appropriate for weight management
2. Anti-inflammatory diet
3. Adequate Vitamin D and Calcium
17
a chronic autoimmune inflammatory disease in which the synovial membrane of the joints become inflammed
Rheumatoid Arthritis
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This test are markers for inflammation
Erthrocyte Sedimination Rate and C-Reactive Protein
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Antibody found in about 80 percent of people with rheumatoid arthritis
Rheumatoid Factor (RF)
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This test helps track the progression of rheumatoid arthritis in the joints over time
Imaging Test
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What is the MNT for Rheumatoid Arthritis? (5)
1. Balanced diet appropriate for weight management
2. Anti-inflammatory diet
3. Adequate Vitamin D and Calcium
4. Avoid allergens
5. Supplement Omega-3 PUFA
22
inflammatory disease that develops when the serum concentration of uric acids becomes elevated forming "urate crystaals that precipitate in the synovial fluid, initiating an inflammatory response within the joints and the surrounding tissues
Gout
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End product of the metabolism of purine adenine and guanine from the DNA and RNA
Uric Acid
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Body urate pool
Endogenous production from degradation of purine = _
Dietary origin =_
2/3, 1/3
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Results from overproduction of uric acids and inadequate elimination of uric acid where 70% is ecreted via the kidney
Hyperuricemia
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It is a poor solvent for uric acid, particularly at temperatures less than 37 degree celsius. It has a lower temperature in joints like the big toe
Synovial Fluid
27
What is the MNT for Gout?
1. Achieveing and maintaining healthy body weight
2. Moderate alcohol consumption
3. Balanced diet
4. Low fat, low purine diet
5. Limit HFCS
6. Ensure adeqaure hydration
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