1. Requirements for Presentation
Length = 10 minutes/person
Must have at least 5 sources – limit of 3 online sources (not Wikipedia)
Background on the condition; ie: Is the cause of the condition genetic or environmental, etiology of condition, population distribution, pathology, lifestyle impacts, etc.
Are there other forms of treatment other than diet alone; ie: surgery or pharmaceutical intervention?
3 day diet plan to meet the specific needs of a patient with the condition you are studying
3 questions that are able to be answered in 1-3 sentences

2. Scurvy: Not just for Pirates
Will Brown
1/31/2012

3. What is scurvy?
Scurvy Caused by Vitamin C Deficiency – Completely dietary, no genetic
Vitamin C is required for mature collagen formation
Without vitamin C the collagen precursor molecules are unstable and breakdown or disassemble
Pathology of scurvy
Early symptoms: malaise, lethargy, and myalgia can occur
Progresses to loosening of teeth, reopening of scars, epidermal rashes and “corkscrew” hairs
Late stage scurvy results in neuropathy, jaundice and eventually death.

4. Background
Was not seen until long voyages on ships began to limit diets of fresh fruits and vegetables
Epidemiology – usually restricted to poverty stricken countries with little access to fresh fruits and vegetables
Also affects elderly patients who are unable to provide for themselves
Can also affect people with restricted diets or those with gastrointestinal disorders such as ulcerative colitis or celiac

5. Background
Does not show male or female preference nor does it show age preferences
Minimum daily intake of vitamin c is 10 mg RDI for vitamin C = mg
There is no surgical intervention
Collagen is required for wound healing so surgery is not advisable
Therapeutic intervention is high dose vitamin C

6. Breakfast Meal Plan Day 1 Vit C Day 2 Day 3
Yogurt with fresh strawberries
2/84.7
Cantelope 67
Kiwi
164
Whole wheat toast
Granola Cereal w/ 1% milk
0.7/0
Scrambled eggs
Glass of orange juice
124
Total:
210.7
197.7
288
Vitamin C reported in mg

7. Lunch Menu Day 1 Vit C Day 2 Day 3
Spinach Salad w/mandarin oranges and pecans
103.2 .
Whole wheat turkey Sandwich w/watercress 43
Tomato Soup 14
Vinaigrette dressing
Strawberries
84.7
Papaya
234.8
Glass of V8 juice
108
Papaya/ orange smoothie
304.5
Cantelope strawberry smoothie
151.7
Total:
211.2
432.2
400.5

8. Dinner Menu Day 1 Vit C Day 2 Day 3
BLT w/ spinach and whole wheat bread 28
Chili w/ beans and turkey
21.4
Fish tacos w/ cabbage 19
Fruit salad w/ papaya
300
Spinach and watercress side salad 71
Fresh Salsa
20.7
Glass of 1% milk
Orange juice
124
Total:
328
216.4
339.7
Daily Totals
749
846
1028

9. Questions What is the cause of Scurvy?
Vitamin C deficiency
Vitamin C is required for the formation of ________.
Keratin
Bone
Collagen
What is the RDI for Vitamin C?
mg/day

10. Resources http://www.nlm.nih.gov/medlineplus/ency/article/000355.htm
Adult Scurvey; Hirschmann and Raugi; J AM ACAD DERMATOL DECEMBER 1999
Food Composition Table; McGraw-Hill 2009