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PEM is generally categorized into three main clinical forms based on the nature of the nutrient deficiency: A. Marasmus (Energy Deficiency)
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Comprehensive Guide to Protein-Energy Malnutrition (PEM): Presentation Essentials
"Flaky paint" or "crazy paving" dermatosis, where skin hyperpigments, cracks, and desquamates. Protein Energy Malnutrition Ppt
| Measurement | Normal | Mild | Moderate | Severe | | :--- | :--- | :--- | :--- | :--- | | Ideal Body Weight % | 90-110 | 85-90 | 75-85 | <75 | | BMI | 19-24 | 18-18.9 | 16-17.9 | <16 | | Serum Albumin (g/dL) | 3.5-5.0 | 3.1-3.4 | 2.4-3.0 | <2.4 |
Improving maternal knowledge of nutrition and hygiene. If you'd like to refine this for a specific audience:
Marasmic-Kwashiorkor: This is a mixed form where a child exhibits features of both wasting and edema. It represents a severe state of acute malnutrition. Etiology and Risk Factors PEM is generally categorized into three main clinical
Do use standard IV fluids unless the child is in shock. Use ReSoMal (Rehydration Solution for Malnutrition) orally or via nasogastric tube slowly. 4. Correct Electrolyte Imbalance
Addressing life-threatening issues: treating hypoglycemia, hypothermia, dehydration, and infection.
Atrophy of the thymus and lymphoid tissue, leading to a severely compromised immune system ( Nutritional Thymectomy ). Life-Threatening Complications If you share with third parties, their policies apply
Pneumonia, urinary tract infections, and septicemia present silently without typical features like fever. 5. Diagnostic Evaluation
Difficult to diagnose due to skin changes; often co-exists with septic shock.
"Old man's face" or "monkey face" due to loss of temporal and facial subcutaneous fat.