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Card
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Title
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Marasmus
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ImagePath
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System
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protein-energy malnutrition
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Overview
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Inadequate total caloric intake causing tissue wasting.
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Pathophysiology
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Body adapts by mobilizing fat and muscle; no edema due to relatively preserved albumin.
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Presentation
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Severe wasting, loss of subcutaneous fat, ravenous appetite, stunted growth, immune suppression.
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Diagnosis
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Weight < 60% expected, albumin usually normal.
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Management
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Gradual caloric refeeding with micronutrients; treat infections; psychosocial support.
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Epidemiology
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Famine, severe neglect, cachexia in chronic disease (cancer, COPD).
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Tags
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