International Health Elective:National Pediatric Hospital

Phnom Penh, CambodiaBy Rany Gilpatrick

3/23/15

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

A. Learning Objectives

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

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

Assessments for malnutrition

Effects Poor weight gain (underweight) Poor height gain (stunted) Chronic illnesses Micronutrient deficiencies: zinc, iron, vit A

Chronic Malnutrition

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

B. Clinical Experience

The great Angkor Wat

Cultural Experience

Bas-relief galleries

Apsara: female dancer

Buddha statues

Other temples in the Angkor historical park

FIN