SIGNS/SYMPTOMS TONGUE


Scorbutic tongue petechiae on the surface of the tongue; inflammation of the tongue — glossitis


Glossitis smooth, sore, red, swollen, atrophic tongue


Pale tongue


Magenta tongue soreness, burning tongue, purplish


Beefy, red, smooth, sore tongue Oral thrush (oral candidiasis)


fungal infection, white lesions usually on inner cheek or tongue


Geographic tongue discolored, painless patches missing papillae


Strawberry-red tongue TASTE


Hypogeusia/Dysgeusia sense of taste diminished or altered


Deficiency: Zinc


Possible non–nutrition-related causes: Medications such as antineoplastic agents or sulfonylureas


N/A N/A Deficiency: Vitamin C


Deficiency: Vitamin B12 • Riboflavin • Folate • Niacin • Vitamin B6 • Biotin • Iron


Anemia: Iron • Vitamin B12 • Folate Deficiency: Riboflavin


Deficiency: Vitamin B12 N/A


Possible non–nutrition-related causes: Celiac disease • Infection • Amyloidosis • Xerostomia • Sjögren syndrome • Oral trauma/irritants • Hormonal • Low- estrogen states • Dentures


POSSIBLE NUTRITION-RELATED CAUSES


ADDITIONAL INFORMATION


At risk: Patients with weakened immune system • Infants • Medications (ie, prednisone, inhaled corticosteroids, antibiotics) • Dentures • Diabetes mellitus


Additional information: Benign condition


Possible non–nutrition-related causes: Scarlet fever • Kawasaki disease


MICRONUTRIENT EXAM: CLINICAL INTERPRETATION OF NUTRITION FOCUSED PHYSICAL EXAM FINDINGS PEDIATRIC MALNUTRITION INDICATORS


34


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70