Marasmus Versus Kwashiorkor Versus Marasmic Kwashiorkor-The Difference YouTube Lecture Handouts

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Marasmus Versus Kwashiorkor Versus Marasmic Kwashiorkor - The Difference | Science Nutrition

Title: Marasmus Versus Kwashiorkor

  • Wasted (too thin)
  • Lean (fleshed out, no noticeable fat)
  • Normal (rounded contours, no noticeable excess fat)
  • Heavy (sturdy, mostly muscular, not lean or thin)
  • Overweight (noticeable fat)
  • Obese (excess fat)

Marasmus (Non-Oedematous Malnutrition)

  • Less than 1 year of age
  • Low calorie intake
  • Dry & Wrinkled Skin
  • Weight loss
  • Dehydration
  • Chronic diarrhea
  • Stomach shrinkage
  • Needs protein + fat + carbohydrate
  • Severe Growth Retardation
  • Marasmus (non-oedematous malnutrition) : In this form of severe undernutrition, the child is severely wasted and has the appearance of “skin and bones” due to loss of muscle and fatty tissue. The child՚s face looks like an old man՚s following loss of facial subcutaneous fat, but the eyes may be alert. The ribs are easily seen. There may be folds of skin on the buttocks and thighs that make it look as if the child is wearing “baggy pants.” Weight-forage and weight-for-length/height are likely to be very low
    • Sunken eyes
    • Ribs visible through skin
    • Bony face

Kwashiorkor (Oedematous Malnutrition)

  • Age 1 - 5 years old
  • Only protein
  • Enlarged fatty liver
  • Poor appetite
  • Stomach bulging
  • Inability to grow
  • Sparse Hair
  • Lethargic
  • Mild Growth Retardation
  • Kwashiorkor (oedematous malnutrition) : In this form of severe undernutrition, the child՚s muscles are wasted, but the wasting may not be apparent due to generalized oedema (swelling from excess fluid in the tissues) .
  • The child is withdrawn, irritable, obviously ill and will not eat. The face is round (because of oedema) and the hair is thin, sparse and sometimes discoloured. The skin has symmetrical discoloured patches where the skin later cracks and peels off. A child with kwashiorkor will usually be underweight, but the oedema may mask the true weight.

Marasmic Kwashiorkor Identify!

  • Marasmic kwashiorkor: Kwashiorkor and marasmus are distinct conditions, but in communities where both occur, cases of severe undernutrition often have features of both. For example, a child may have severe wasting as seen in marasmus, along with the skin and hair changes or oedema typical in kwashiorkor
  • Oedema of both feet: Oedema of both feet is a sign that a child needs referral, even if other signs of kwashiorkor are not present. The oedema must appear in both feet. (If the swelling is in only one foot, it may just be a sore or infected foot.) To check for oedema, grasp the foot so that it rests in your hand with your thumb on top of the foot.
  • A child with oedema of both feet is automatically considered severely underweight, regardless of what the scale shows

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