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Pediatrics General 790751e5

In children presence of increased faecal fat excretion and increased faecal nitrogen levels is a feature of All Except –

A
Pancreatic–insufficency
B
Bacterior overgrowth syndrome
C
Coeliac spree
D
Ulcerative–colitis
High-Yield Explanation
This child has - 1)Steotorrhea It is defined as increased fecal fat excretion. Quantitatively it is defined as, when fecal fat is > 7 gm/day. 2) Azotorrhoea It is defined as increased fecal nitrogen. Quantitatively, when fecal nitrogen is >3 gm/day. Fecal nitrogen is derived from dietry protein. Steotorrhea and Azotorrhoea occur in malabsorption syndromes due to any cause → fat and proteins are not absorbed. Which results in steatorrhea and Azotorrhea. Important causes in children are - Chronic pancreatitis  Bacterial overgrowth syndrome                      Ileal disease (crohn's disease) Celiac sprue Intestinal lymphangiectasia

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