Transcript International Health Elective: National Pediatric Hospital Phnom

International Health Elective:
National Pediatric Hospital
Phnom Penh, Cambodia
By Rany Gilpatrick
3/23/15
A. Learning Objectives
 To evaluate the extent of malnutrition in a pediatric
setting at NPH
 To identify the current assessment for malnutrition in
a pediatric hospital
 To identify the effects of chronic malnutrition and
possible preventative measures and treatment for
malnutrition in the community
Week 1: Infectious Disease Unit
Week 2: HIV/AIDS Unit
Week 3: Respiratory Unit
Week 4: Surgical Department
Weight-for-age percentiles graphs
Weight-for-age z-scores
Weight-for-height z-scores
Assessments for malnutrition
 Malnutrition
 Moderate:
 Weight-for-age z-scores between -2 and -3
 Severe:
 Weight-for-height z-scores less than -3
 Height-for-age z-scores less than -3
 Signs of edematous malnutrition
Chronic Malnutrition
 Effects
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Poor weight gain (underweight)
Poor height gain (stunted)
Chronic illnesses
Micronutrient deficiencies: zinc, iron, vit A
B. Clinical Experience
 14 yo girl in the HIV/AIDS clinic
 Diagnosed since soon after birth
 Mom had HIV during pregnancy. Dad’s status
unknown
 Failed first line treatment
 Currently on second line therapy
Cultural Experience
 The great Angkor Wat
Bas-relief galleries
Apsara: female dancer
Buddha statues
Other temples in the Angkor
historical park
FIN