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Vijay L. Grey McMaster University
Vijay L. Grey McMaster University At the end of the session the participant will be able to: ◦ Describe the current diagnostic testing used in as...
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At the end of the session the participant will be able to: ◦ Describe the current diagnostic testing used in assessing pancreatitis
◦ Assess the importance of nutritional management of cystic fibrosis ◦ Explain some of the concepts behind total parenteral nutrition in the newborn
Clinical presentation Lab tests Amylase vs Lipase Genetic testing
Pancreatic Sufficient vs Pancreatic Insufficient
Nutritional monitoring in cystic fibrosis
Indications for TPN
The TPN prescription
Monitoring TPN
Mr. Spink , 51y presented to ER with acute abdominal pain radiating to the back. He bends forward to relieve the pain.
Lab tests ordered
◦ Lipase 240IU/L ( 36% in 2010 Reasons include ◦ Early diagnosis ◦ Management of the disease Nutrition Lung function
Survival is related to % ideal body weight and lung function >85 % IBW better prognosis at 5y than those with 95% of fat intake is absorbed
This test reduces the need for fecal fat determinations and is helpful in the newborn period. Spot test(2 weeks (term babies) PI cutoff ◦
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