USMLE Forum Archives - USMLE Step 3 - CLD
CLD
conym5 - 07-10-09 11:34
patient with chronic liver disease should avoid which one of the following and why ???
1.fat soluble vitamines
2.water soluble vitamines
3.multivitamines with Iron and Zinc
conym5 - 07-10-09 11:34
patient with chronic liver disease should avoid which one of the following and why ???
1.fat soluble vitamines
2.water soluble vitamines
3.multivitamines with Iron and Zinc
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#4
Re: CLD
conym5 - 07-11-09 10:29 My answer is multivitamins with Iron, because Patients with chronic liver disease are prone to develope Hemochromatosis, so it is better to avoid Iron preparations.
I am not sure about fat soluble vitamines. Could you please explain..
#6
Re: CLD conym5 - 07-11-09 14:55 does anybody have explanation for contraindication to fat soluble vitamines?
#7
Re: CLD bingousmle - 07-11-09 15:58 well the most plausible thing that occurred to me was that since in a chronic liver disease patient, which could be due to any cause, bile production , needed for absorption of fat soluble vit is impaired.. its advisble to refrain... iron and zinc by and large when ingested are stored in the gut epithelium and released when demands arises... hemochromatosis is unlikely..
#8
Re: CLD mtniharika - 12-28-09 05:48 YEAH...FAT SOLUBLE VITAMINS is likely because their absorption is decreased, becausebile salts needed for their absorption may be decreased..n as bingousmle said toxicity of iron n zinc was not reported in such conditions.
#9
Re: CLD nidayasir - 12-28-09 06:12 fat soluble vitamins shud be avoided cz absorption s needed by bile n in cld it may be reduced or disturbed.iron n zinc r absorbed in gut.
#10
Re: CLD babbu5508 - 02-24-11 14:56 patient with chronic liver disease should avoid which one of the following and why ???
1.fat soluble vitamines......doubtful indeed.....
#11
Re: CLD sudha2015 - 02-28-11 08:30 patient with chronic liver disease should avoid which one of the following and why ???
1.fat soluble vitamines
#12
Re: CLD babbu5508 - 02-28-11 10:29 well the most plausible thing that occurred to me was that since in a chronic liver disease patient, which could be due to any cause, bile production , needed for absorption of fat soluble vit is impaired.. ..nice explanation
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