Clinical Nutrition
Added on 2023-05-31
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Running head: CLINICAL NUTRITION
Clinical Nutrition
Student’s Name
Institutional Affiliation
Clinical Nutrition
Student’s Name
Institutional Affiliation
CLINICAL NUTRITION 2
Clinical Nutrition
Question 2
It would be true to conclude that Mr Levitt suffers multiple micronutrient deficiency.
This is associated to abuse of alcohol for a period of 25 years. Abuse of alcohol and
development of liver cirrhosis are associated with multiple micronutrient deficiency (Rolfes,
Pinna and Whitney, 2014). The liver has numerous functions in the body. In a case of liver
cirrhosis, the liver is usually scarred due to death of hepatic cells (Rolfes, Pinna, Whitney,
2014). Therefore, the function of the liver is greatly reduced. This explains the presence of
ammonia in blood and low albumin levels. It is the function of the liver to detoxify harmful
substances such as ammonia. It can also be concluded that he suffers from global acute
malnutrition. This is because he has lost 30 pounds and he appear thin. Global acute
malnutrition is very common in patients suffering from liver cirrhosis especially that caused
by abusing alcohol (Nelms and Sucher, 2015). The albumin levels are low as evidenced by
the tests carried out. This is caused by the malfunctioning liver.
The medical condition that makes difficult to interpret his present weight is ascites.
Due to the accumulation of fluids in the peritoneal cavity (ascites), the weight is exaggerated
and does not represent the true body weight. It is therefore difficult to interpret the weight
due to ascites. There are a series of changes that occur in the body that lead to retention of
fluids in the peritoneal cavity. The first abnormality that occurs is development of portal
hypertension. Due to the abnormality, the body responds by releasing vasodilators (Sizer,
Piché and Whitney, 2012). These lead to decreasing the arterial blood flow and a consequent
decrease in arterial pressures. Nitric oxide has been implicated in causing vasodilation. The
vasodilation happens progressively. This prompts the body to activate vasoconstrictor
mechanisms to maintain homeostasis. The result is retention of water and sodium. This
Clinical Nutrition
Question 2
It would be true to conclude that Mr Levitt suffers multiple micronutrient deficiency.
This is associated to abuse of alcohol for a period of 25 years. Abuse of alcohol and
development of liver cirrhosis are associated with multiple micronutrient deficiency (Rolfes,
Pinna and Whitney, 2014). The liver has numerous functions in the body. In a case of liver
cirrhosis, the liver is usually scarred due to death of hepatic cells (Rolfes, Pinna, Whitney,
2014). Therefore, the function of the liver is greatly reduced. This explains the presence of
ammonia in blood and low albumin levels. It is the function of the liver to detoxify harmful
substances such as ammonia. It can also be concluded that he suffers from global acute
malnutrition. This is because he has lost 30 pounds and he appear thin. Global acute
malnutrition is very common in patients suffering from liver cirrhosis especially that caused
by abusing alcohol (Nelms and Sucher, 2015). The albumin levels are low as evidenced by
the tests carried out. This is caused by the malfunctioning liver.
The medical condition that makes difficult to interpret his present weight is ascites.
Due to the accumulation of fluids in the peritoneal cavity (ascites), the weight is exaggerated
and does not represent the true body weight. It is therefore difficult to interpret the weight
due to ascites. There are a series of changes that occur in the body that lead to retention of
fluids in the peritoneal cavity. The first abnormality that occurs is development of portal
hypertension. Due to the abnormality, the body responds by releasing vasodilators (Sizer,
Piché and Whitney, 2012). These lead to decreasing the arterial blood flow and a consequent
decrease in arterial pressures. Nitric oxide has been implicated in causing vasodilation. The
vasodilation happens progressively. This prompts the body to activate vasoconstrictor
mechanisms to maintain homeostasis. The result is retention of water and sodium. This
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