4. Definition of Kwashiorkor "Kwashiorkor" is the name given to the protein-calorie malnutrition. It is a Ga word which describes the malnourished child, the result of the ill-health which develops when an infant is weaned from breast-feeding (which may be at about 2 years of age). When a sibling is born and monopolizes breast feeding, the "weaning" or deposed child may develop kwashiorkor, an all-embracing word for the clinical syndrome of malnourishment in which reddening of the child's hair is but a part.
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7. Causes Social and Economic Poverty Ignorance Inadequate weaning practices Child abuse Cultural and social practices Vegan Low fat diets
12. When the liver cells are damaged, the immune system of the body respond to this damage and causes inflammation inside the liver which will cause the liver to enlarge in size. This is then known as Steatohepatitis.
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14. TREATMENT… 10 steps for routine management of children with malnutrition Prevent and treat the following: Hypoglycemia Hypothermia Dehydration Electrolyte imbalance Infection Micronutrient deficiencies Provide special feeds for the following: Initial stabilization Catch-up growth Provide loving care and stimulation Prepare for follow-up after discharge
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16. Case Report MF, was admitted to RSUP HAM on April 13th 2010 at 1500. 1 year old BW : 9.8 kg height : 70 cm Complaint : Oedemat the body with dermatosis mostly at lower extremities and some part of his body experience for the last 2 weeks. At first, oedem start at his face genital all of his body. Fever in last 2 days. Cough (-), flu (-). History of oedem (-) Defecation and urination : Normal. History of delivery ; spontaneous, aided by midwife, BW : 2800 gram, BL : unknown, crying, cyanosis (-). History of immunization : complete, BCG scar (+). History of feeding ; 0- week 1 : breast milk, week 1 – 2 month : SGM 30 cc, 6-7 times/day. 2 month-7 month : SGM + Promina. 7 month- 13 month : porridge 3 times/day volume half bowl. 13 month till now : rice. History of disease : (-)
30. SUMMARY It has been reported that an 1 year old baby boy with his chief complaint of oedem all over his body. He has been diagnosed with severe malnutrition kwashiorkor type based on the history taking, physical examinations and laboratory results.
