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Pediatrics Nutrition 16ee49cf

Kwashiorkor is similar to marasmus in that both diseases have __________

A
A normal total caloric intake
B
A fatty liver
C
An apathetic affect
D
Anemia
High-Yield Explanation
Both marasmus and kwashiorkor are associated with anemia. Marasmus is characterized by a low calorie intake. Dietary deficiencies are compensated for by the breakdown of protein and fats. Key findings include: Growth failure, Aleness, Hunger, Monkey-like appearance , Broomstick extremities , Muscle wasting, Mild anemia Kwashiorkor is characterized by a normal total caloric intake but a decreased intake of protein (minimum protein intake is 8% of the total calories). Key findings are as follows: Growth failure Apathy and irritability with difficulty in feeding Hepatomegaly (fatty liver)- apoprotein deficiency Pitting edema Flaky paint dermatitis (looks like paint coming off a building) Areas of depigmentation Diarrhea due to the loss of brush border enzymes ("use it or lose it") and parasitic diseases Flag sign in hair (alternating dark and light areas) Protuberant abdomen (fatty liver from decreased apoproteins, ascites, bowel distention with air) Reference: GHAI Essential pediatrics, 8th edition Nutrition chapter

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