PMCCC 26102021 ,,10 months old 8 kg boy arrived in OPD with parents complaint of medial rotation with inversion of rt foot and bending of legs during standing ,,,normal milestones and birth history ,,,normal vaccination records, baby can stand on support Kindly add your valuable opinions Chief Complaints 10 months old 8 kg boy arrived in OPD with parents complaint of medial rotation with inversion of rt foot and bending of legs during standing ,,,normal milestones and birth history ,,,normal vaccination records Vitals WNL

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There is no richet a usg should be don to heptomagaly causing eating of food frequently increasing dose pf meal and persueing leg weaknes a heptoprotectiv tonic and AD oil formassage should be given continuously for atleast 3 months in marasmus dirrhoea ocurs

Investigations should be done for Rickets and Scurvy , this is a age of presentation of these clinical entities, Also protuberant abdomen ,dry scaly slightly edamatous skin goes in favour of Kwashiorkor , Rickets and Scurvy ,. Diagnosis should be established pathologically and radilogically

Coarse skin ,protuberant abd. & small umbilical hernia, so R/O hypothyroidism , orthopedic intervention lateron.

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