THIAMIN (Vit B1) deficiency and refeeding
🔸Alcohol interferes directly with the absorption of thiamine and with the synthesis of thiamine pyrophosphate and it increases urinary excretion.
Thiamine should always be replenished when a
patient with alcoholism is being refed, as carbohydrate repletion without adequate thiamine can precipitate acute thiamine deficiency with lactic acidosis.
Other at-risk populations are women with prolonged hyperemesis gravidarum and anorexia, patients with overall poor nutritional status who are receiving parenteral glucose, patients who have had bariatric/metabolic surgery and patients receiving chronic diuretic therapy.
🔸Alcohol interferes directly with the absorption of thiamine and with the synthesis of thiamine pyrophosphate and it increases urinary excretion.
Thiamine should always be replenished when a
patient with alcoholism is being refed, as carbohydrate repletion without adequate thiamine can precipitate acute thiamine deficiency with lactic acidosis.
Other at-risk populations are women with prolonged hyperemesis gravidarum and anorexia, patients with overall poor nutritional status who are receiving parenteral glucose, patients who have had bariatric/metabolic surgery and patients receiving chronic diuretic therapy.
Papillary Conjunctivitis
Papillary conjunctivitis is an inflammatory condition of the conjunctiva, characterized by the presence of papillae, which are small, raised, red lesions. This condition can be caused by various factors, including allergies, contact lens wear, or prolonged irritation.
Treatment
🙂 Identifying and avoiding allergens or irritants is crucial.
🙂 Oral or topical antihistamines can help control allergic reactions.
🙂 In severe cases, short-term use of steroid eye drops may be necessary.
🙂 Proper cleaning and replacement of contact lenses are essential in managing contact lens-related conjunctivitis.
🙂 Lubricating eye drops can help relieve symptoms and wash away allergens.
Papillary conjunctivitis is an inflammatory condition of the conjunctiva, characterized by the presence of papillae, which are small, raised, red lesions. This condition can be caused by various factors, including allergies, contact lens wear, or prolonged irritation.
Treatment
🙂 Identifying and avoiding allergens or irritants is crucial.
🙂 Oral or topical antihistamines can help control allergic reactions.
🙂 In severe cases, short-term use of steroid eye drops may be necessary.
🙂 Proper cleaning and replacement of contact lenses are essential in managing contact lens-related conjunctivitis.
🙂 Lubricating eye drops can help relieve symptoms and wash away allergens.
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