International Health Elective: National Pediatric Hospital Phnom Penh, Cambodia By 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

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