Prerequisite: MND 545
Development of the Nutrition Focused Physical Exam (NPE) to assess nutritional status and identify protein calorie malnutrition and micronutrient based lesions. The interrelationships of nutrition with biochemical, physiological and anatomical changes associated with acute, chronic, and terminal illness are considered in development of the NPE skills. In-depth look at the body areas: oral/perioral, skin and related structures and selected body systems as nutrient based lesions. Identification of differential diagnoses and use of the 5 axes of evidence is emphasized. Patient cases seen in the hospital will be used to provide clinical context for discussion.