Module 2: question 1

I chose to focus my clinical issue on Celiac Disease and the nutritional complications/deficiencies that can result. This issue has a couple of areas that interest me 1: I had patients in clinical practice with undiagnosed/unrecognized disease and it had a significant impact on wound healing and 2: I had a niece recently diagnosed with the condition. I have looked on google and other free searches to see what kind of information the general public would see if they were "hunting", as well as PUB Med and Medline. The index itself was helpful - my issue was that I was dissappointed in the lack of information directly connecting the nutritional differences with the "diagnosis". Fundamentally, any disease state that causes malnutrition is a concern in wound healing, and a significant amount of data links the impact of this problem to delays in wound closure rates. Not too many researchers have specifically adddressed wound healing in celiac patients, but plenty have looked at other metabolic disorders that impact healing. Diabetes is one of the metabolic disorders that there was quite a bit of literature available when you link it with malnutrition or nutritional deficiencies. If you then link it with wound healing you have a significant amount of literature. I don't believe there are any true impediments to the use of either of the search engines- I just find that I get engrossed by following down different pathways and spend hours playing around.