MARASMUS DISEASE
⁃ it is the condition when emaciation , generalized wasting and absence of subcutaneous fat caused by malnutrition.⁃ This is the problem occur due to the deficiency of calorie to acute diseases.
⁃ Diarrhea l diseases of infancy .
⁃ Nutritional compostiokbdefiency
⁃ Inadequate food intake
⁃ Malabsorption
⁃ Child abuse
⁃ Failure to thrived syndrome
⁃ Scurvy
⁃ Deficiency if vitamin D.
SINGS AND SYMPTOMS
⁃ Sunken face⁃ Loss of muscle mass
⁃ Soft tissue and a wizened
⁃ Loss of temporal and buccal fat pads.
⁃ Loss of weight
⁃ Brain and skeleton growth continues, resulting in long body and a head too large in proportion to weight.
⁃ The eyes are sunken
⁃ Tissue turner is lost.
⁃ Skin appear loose and sags.
⁃ Loss of activity in the Person.
⁃ Weakness in feet and hands.
MANAGEMENT :-
⁃ Provide supportive therapy to the patient.⁃ Low and small in calorie feedings should be provide to the patient because digestive capacity is poor and re-feeding syndrome can occur.
⁃ Breast feeding is best for the child.
⁃ The amount of calorie and protein ,carbohydrates and fat should be increased gradually .
⁃ A low lactate diet should be needed for the patient.
⁃ Fluid and electrolyte should be administered .
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