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 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 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