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Vitamin Deficiency

Tricia Bautista, MD and Jyothi R Patri, MD, MHA, FAAFP, HMDC Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Vitamins are essential micronutrients required for normal metabolism, growth, and development.

  • Vitamin supplementation in food products, adequate food security, and availability of su...

DIAGNOSIS

HISTORY

  • Review dietary intake and supplement use.

  • Decreased visual acuity, night blindness

  • Poor wound healing, easy bruising

  • Skin changes, new rash

  • Neuropathy

  • Abnormal food cravings (pica)

  • Osteomal...

TREATMENT

MEDICATION

  • Ask patients about supplement use; encourage patients to bring vitamin and supplement bottles for review.

  • Assess for potential adverse drug effects/reactions. Patients with alcohol ...

ONGOING CARE

DIET

Vitamins are best used by the body from food intake. Supplements should be used where it is not feasible to ingest the recommended amount of a particular vitamin. 

PATIENT EDUCATION

  • Dru...

REFERENCES

1
Langan  RC, Goodbred  AJ. Vitamin B12 deficiency: recognition and management. Am Fam Physician.  2017;96(6):384–389. [View Abstract on OvidMedline] ...

ADDITIONAL READING

  • Herrick KA, Storandt RJ, Afful J, et al. Vitamin D status in the United States, 2011-2014. Am J Clin Nutr. 2019;110(1):150-157.

  • ...

CODES

ICD10

  • E56.9 Vitamin deficiency, unspecified

  • E56.0 Deficiency of vitamin E

  • E55.9 Vitamin D deficiency, unspecified

  • E50.9 Vitamin A deficiency, unspecified

  • E53.9 Vitamin B deficiency, unspecified

  • E56.8 ...

CLINICAL PEARLS

  • In healthy adults, multivitamins have no value if dietary intake is adequate.

  • Vitamin D supplementation (400 IU/day) is recommended for all infants.

  • No routine screening for Vitamin D de...

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