International Health Elective National Pediatric Hospital Phnom Penh

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International Health Elective: National Pediatric Hospital Phnom Penh, Cambodia By Rany Gilpatrick 3/23/15

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

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 1: Infectious Disease Unit

Week 2: HIV/AIDS Unit

Week 2: HIV/AIDS Unit

Week 3: Respiratory Unit

Week 3: Respiratory Unit

Week 4: Surgical Department

Week 4: Surgical Department

Weight-for-age percentiles graphs

Weight-for-age percentiles graphs

Weight-for-age z-scores

Weight-for-age z-scores

Weight-for-height z-scores

Weight-for-height z-scores

Assessments for malnutrition Moderate: Weight-for-age z-scores between -2 and -3 Severe: Weight-for-height z-scores less

Assessments for 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 Poor weight gain (underweight) Poor height gain (stunted) Chronic illnesses Micronutrient

Chronic Malnutrition Effects 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

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

Cultural Experience The great Angkor Wat

Bas-relief galleries

Bas-relief galleries

Apsara: female dancer

Apsara: female dancer

Buddha statues

Buddha statues

Other temples in the Angkor historical park

Other temples in the Angkor historical park

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