a 5 year old female child. oedema pedal, hand,face. can not speak, walk,sitting. anorexia. mild yellow eyes.

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Kwashiorkor

THIS CASE LOOKS LIKE C.P. WITH LEFT EYE CONJUGATE SQUINT. EDEMA FACE, & LEGS DUE TO PEM. YELLOW EYES, HEPATITIS HAS TO BE R/O. INFECTIOUS ETIOLOGY. WORK UP : SERUM ALBUMIN. LFT, RFT, MRI BRAIN.

In Kwashiorkor thr is Abd.distention....but as a picture thr no abd. Distention. Kindly provide wt. & detail summary of pt.

PEM,? Celiac disease with MRD.

Kwashiorkor

Kwashiorkor

plz rule out HIV and Chr Kidney and Liver ds

Here we need long history...wat wer chief comp...wen the illness started...wat wer perinatal details..wat was development. ..is ther loss of milestones. ..is ther seizures. ..does she know her parents. ..wat is hearing and vision. ..is ther cranial n palsy..feeding diff..focal deficit..nystagmus. ..invol movt...wen was swelling started. .hist o diarrhoea. .urine output...jaundice...altered sensorium. .huperpigm..is ther organomegaly..

Probably neuromotor impairment (CNS issue/metabolic ds) & feeding difficulty l/t malnutrition. Also look fr RFT/LFT

kwashiorkar

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