Nutritional assessment: Physical exam

Question 1

Dry, thin, sparse hair

Answer 1

EFAs
Vit A and E
Zinc
Biotin
protein deficiency

Question 2

Hair thinning on LEs

Answer 2

blood glucose dysregulation

Question 3

Alopecia

Answer 3

protein deficiency

Question 4

Hair = easy to pull out

Answer 4

protein deficiency

Question 5

Dandruff

Answer 5

EFAs
Selenium
B-complex
excess carb intake

Question 6

Dental amalgams

Answer 6

consider mercury toxicity

Question 7

Tooth decay

Answer 7

decreased minerals
- Ca, boron, silica
excess simple carbs (including EtOH)

Question 8

Bleeding gums

Answer 8

Vit C

Vit K

Question 9

Periodontal disease

Answer 9

Vit C
Folate (can do a rinse)
Zinc

Question 10

Aphthous ulcers

Answer 10

food sensitivities

excess acidic foods

Question 11

Sore mouth/tongue

Answer 11

Vit B12
Vit B6
Vit C
folate
iron

Question 12

Glossitis

Answer 12

riboflavin
niacin
folate
Vit B12
Vit B6

Question 13

Night blindness

Answer 13

Vit A or minerals involved in its metabolism

- Fe or Zn

Question 14

Photophobia

Answer 14

Vit A

Vit B2

Question 15

Dark circles under the eyes

Answer 15

food sensitivities

Question 16

Pale conjunctiva

Answer 16

Fe

Question 17

Conjunctival xerosis

Answer 17

Vit A

Question 18

Anosmia

Answer 18

zinc

Question 19

Salute sign

Answer 19

allergies

Question 20

Chronic congestion/rhinitis

Answer 20

allergies

food sensitivities

Question 21

Nasal polyps

Answer 21

salicylate sensitivity

Question 22

Epistaxis

Answer 22

Vit K

Question 23

Diagonal earlobe crease

Answer 23

incr risk of CVD

Question 24

Tophi on ear

Answer 24

gout
folate
excess purines/fructose consumption

Question 25

Ear wax (dry, crusty)

Answer 25

EFAs

Question 26

White matter in external ear canal

Answer 26

yeast or bacterial overgrowth

Question 27

Fluid behind the TM

Answer 27

food sensitivity - esp dairy

Question 28

Chronic pruritus around the ear

Answer 28

mild yeast infx | excess carb consumption

Question 29

Acne

Answer 29

``` zinc EFAs Vit A excess simple carb intake food sensitivities or hypochlorhydria in adults ```

Question 30

Dilated caps in face/nose

Answer 30

excess EtOH | hypochlorhydria

Question 31

Pigmented skin tags (esp on neck/head)

Answer 31

glucose intolerance

Question 32

Goiter

Answer 32

iodine | selenium

Question 33

Follicular hyperkeratosis

Answer 33

``` Vit A Vit C Vit E zinc EFAs ```

Question 34

Dry skin

Answer 34

EFAs Vit A Vit E

Question 35

Pruritus

Answer 35

EFAs excessive Vit A dysbiosis

Question 36

Calloused heel

Answer 36

``` EFAs Vit A Vit E zinc fungal infx ```

Question 37

Tinea

Answer 37

blood sugar abnormality

Question 38

Eczema

Answer 38

food sensitivities zinc Vit B6 EFAs/GLA

Question 39

Poor wound healing

Answer 39

blood sugar abnormalities Vit C ** Vit A

Question 40

Pallor

Answer 40

iron folate Vit B12

Question 41

Skin cracking

Answer 41

Vit E zinc EFAs

Question 42

Cold skin

Answer 42

iron Vit B3 EFAs

Question 43

Easy bruising

Answer 43

Vit K Vit C Vit E

Question 44

Nail spooning

Answer 44

protein deficiency *** mineral deficiency hypochlorhydria

Question 45

Cuticle inflm

Answer 45

zinc

Question 46

White spots on nails

Answer 46

zinc

Question 47

Tachycardia

Answer 47

Magnesium *** Vit B3 calcium

Question 48

Arrhythmias

Answer 48

Vit B1 potassium dehydration

Question 49

MVP

Answer 49

Magnesium carnitine Vit C

Question 50

Wheezing

Answer 50

EFAs magnesium Vit B6 Vit B12

Question 51

Coughing

Answer 51

Allergies Vit A Vit C zinc

Question 52

Peripheral neuropathy

Answer 52

Vit B1 Vit B6 Vit B12 Vit E

Question 53

Carpal tunnel syndrome

Answer 53

Vit B6

Question 54

Seizure

Answer 54

Vit B6

Question 55

Dementia

Answer 55

``` BLOOD SUGAR CONTROL Vit B1 Vit B3 Vit B6 Vit B12 ```

Question 56

Headache

Answer 56

magnesium Vit B1 Vit B2 feverfew + ginger

Question 57

Muscle weakness

Answer 57

Vit B1 Vit E phosphorus CoQ10

Question 58

Muscle cramping

Answer 58

magnesium potassium iron dehydration

Question 59

Rickets

Answer 59

vit D calcium trace minerals