SlideShare a Scribd company logo
1 of 14
MARASMUSMARASMUS
1
Welcome to faith educationalWelcome to faith educational
solutionssolutions
By santhosh k chackoBy santhosh k chacko
Facebook; Nurses-The Heart BeatsFacebook; Nurses-The Heart Beats
Marasmus - Definition
2
Marasmus is a form of severe PEM occur as result from a negative energy
balance that may occur at any age, particularly in early infancy and is
characterized by:
Severe wasting (body weight is less than 60% of the expected), the body
utilizes all fat stores before using muscles.
Loss of subcutaneous fat.
Gross muscle wasting.
Absence of edema.
3
Children adapt to an energy deficiency with:
1- a decrease in physical activity.
2- lethargy.
3- a decrease in basal energy metabolism.
4- slowing of growth.
5- finally, weight loss.
Cont..
Etiology:
4
The specific cause
may be:
1. Poor feeding habits due to improper training. lack of breast
feeding and the use of dilute animal milk.
2.A physical defect e.g. cleft lip or cleft palate or cardiac
abnormalities, which prevent the infant from taking an
adequate diet.
Etiology:
5
3. Diseases, which interfere with the assimilation of food e.g.
cystic fibrosis.
4. Infections, which produce anorexia.
5. Loss of food through vomiting and diarrhea.
6. Emotional problems e.g. disturbed mother- child
relationship.
Sign and symptoms
6
1. Growth retardation:
Weight is less than 60% of expected for age and sex.
Length, head, chest, and abdominal circumferences are also
affected but to a lesser extent than weight.
Assessment (S&S)
7
2. Loss of Subcutaneous Fat from:
The abdominal wall leading to loss of skin elasticity
The limbs (thighs and buttocks): the skin becomes wrinkled and
hanging into longitudinal folds.
The buccinators pad of fat is the last to disappear.This leads to
hollowing these cheeks, which leads to triangle face and an
appearance resembling the old man.
Assessment (S&S)
8
3. MarkedWasting of Muscles:
This together with the loss of subcutaneous fat lead to
Scaphoid abdomen with marked thinning of abdominal wall.
Stick -like appearance of limbs.
Assessment (S&S)
9
4. Psychic Changes:
Marasmic infants look anxious, irritable, excessively cry and
sleep little. However, they look less miserable than the cases of
kwashiorkor.
Marasmic infants are usually hungry and have good appetite.
Sometimes, there is anorexia and poor feeding.
Assessment (S&S)
10
5. Chronic diarrhea with or without vomiting.
6. Intercurrent infections:
Like otitis media, bronchopneumonia, urinary tract infections.
7. Associated deficiencies of iron, vitamin A and D.
8. Hypothermia due to loss of subcutaneous fat.
Laboratory Findings:
11
Blood glucose levels
Hemoglobin levels
Urinalysis
Stool tests
Electrolyte test.
Treatment of Marasmus
12
The best way to treat Marasmus is to give the affected
individual a healthy and nutritious diet which is rich in
proteins and calories so that the body gets sufficient
energy to function. There are specific methods of refeeding
and rehydrating the affected individual so as to prevent
complications arising out of refeeding. The methods
generally used for refeeding are use of IV fluids,
rehydration solutions administered orally, and feeding
through NG tubes.
Complications of Marasmus:
13
Lack of proper growth in children
Joint deformities
Severe weakness
Permanent vision loss
Organ failure
Coma.
14

More Related Content

What's hot (20)

Kwashiorkor
KwashiorkorKwashiorkor
Kwashiorkor
 
Malabsorption syndrome
Malabsorption syndromeMalabsorption syndrome
Malabsorption syndrome
 
Anemia ppt
Anemia pptAnemia ppt
Anemia ppt
 
Protein Energy Malnutrition
Protein Energy MalnutritionProtein Energy Malnutrition
Protein Energy Malnutrition
 
Bronchitis
BronchitisBronchitis
Bronchitis
 
Anemia in child
Anemia in childAnemia in child
Anemia in child
 
Protein Energy Malnutrition
Protein Energy MalnutritionProtein Energy Malnutrition
Protein Energy Malnutrition
 
Vitamin a prophylaxis
Vitamin a prophylaxisVitamin a prophylaxis
Vitamin a prophylaxis
 
Nutritional anemia
Nutritional anemiaNutritional anemia
Nutritional anemia
 
Vitamin A prophylaxis programme
Vitamin A prophylaxis programmeVitamin A prophylaxis programme
Vitamin A prophylaxis programme
 
Protein energy malnutrition(PEM)
Protein energy malnutrition(PEM)Protein energy malnutrition(PEM)
Protein energy malnutrition(PEM)
 
Encephalitis
EncephalitisEncephalitis
Encephalitis
 
Iron deficiency anemia.
Iron deficiency anemia.Iron deficiency anemia.
Iron deficiency anemia.
 
Diarrhea in children
Diarrhea  in childrenDiarrhea  in children
Diarrhea in children
 
Diarrheal diseases
Diarrheal diseasesDiarrheal diseases
Diarrheal diseases
 
PROTEIN ENERGY MALNUTRITION
PROTEIN ENERGY MALNUTRITIONPROTEIN ENERGY MALNUTRITION
PROTEIN ENERGY MALNUTRITION
 
Gall stone disease
Gall stone diseaseGall stone disease
Gall stone disease
 
Addisons disease
Addisons diseaseAddisons disease
Addisons disease
 
Poliomyelitis
PoliomyelitisPoliomyelitis
Poliomyelitis
 
KWASHIORKOR-MARASMUS-GROUP-4-1.pptx
KWASHIORKOR-MARASMUS-GROUP-4-1.pptxKWASHIORKOR-MARASMUS-GROUP-4-1.pptx
KWASHIORKOR-MARASMUS-GROUP-4-1.pptx
 

Similar to Faith Educational Solutions for Marasmus

Marasmus-Kwashiorkor.biochemistry pptx..
Marasmus-Kwashiorkor.biochemistry pptx..Marasmus-Kwashiorkor.biochemistry pptx..
Marasmus-Kwashiorkor.biochemistry pptx..ABIDOFFICIALCHANNEL
 
PROTEIN ENERGY MALNUTRITION(1)-2.pptx
PROTEIN ENERGY MALNUTRITION(1)-2.pptxPROTEIN ENERGY MALNUTRITION(1)-2.pptx
PROTEIN ENERGY MALNUTRITION(1)-2.pptxRacquelBurrowesBlack
 
Protein calorie malnutrition
Protein calorie malnutritionProtein calorie malnutrition
Protein calorie malnutritionBINDU MADHAVI
 
Nutritional dermatoses pdf
Nutritional dermatoses pdfNutritional dermatoses pdf
Nutritional dermatoses pdfsanjay singh
 
Disorders OF PROTEIN METABOLISM
Disorders OF PROTEIN METABOLISMDisorders OF PROTEIN METABOLISM
Disorders OF PROTEIN METABOLISMBAZILA ILLAHI
 
Protein Energy Malnutrition ans Policies in India
Protein Energy Malnutrition ans Policies in IndiaProtein Energy Malnutrition ans Policies in India
Protein Energy Malnutrition ans Policies in IndiaSakshi Singla
 
Protein energy malnutrition
Protein energy malnutritionProtein energy malnutrition
Protein energy malnutritionSpurthiPunam
 
2009 外文讲义2
2009 外文讲义22009 外文讲义2
2009 外文讲义2Deep Deep
 
Nutritional diseases
Nutritional diseasesNutritional diseases
Nutritional diseasesProtik Biswas
 
ANIMAL NUTRITION PRESENTATION SLIDES STD
ANIMAL NUTRITION PRESENTATION SLIDES STDANIMAL NUTRITION PRESENTATION SLIDES STD
ANIMAL NUTRITION PRESENTATION SLIDES STDsujithradevi1
 
Nutritional disorders
Nutritional disorders Nutritional disorders
Nutritional disorders Pravin Prakash
 
1slide share malnutrition modify
1slide share malnutrition modify1slide share malnutrition modify
1slide share malnutrition modifygotolamy
 
food science nutritional disorder
food science  nutritional disorderfood science  nutritional disorder
food science nutritional disorderBABLUHRANGKHAWL
 
Protien calorie malnutrition & starvation
Protien  calorie malnutrition & starvationProtien  calorie malnutrition & starvation
Protien calorie malnutrition & starvationAiswarya Thomas
 
Protein Energy Malnutrition
Protein Energy MalnutritionProtein Energy Malnutrition
Protein Energy Malnutritionshubhamgupta1791
 

Similar to Faith Educational Solutions for Marasmus (20)

Marasmus-Kwashiorkor.biochemistry pptx..
Marasmus-Kwashiorkor.biochemistry pptx..Marasmus-Kwashiorkor.biochemistry pptx..
Marasmus-Kwashiorkor.biochemistry pptx..
 
PROTEIN ENERGY MALNUTRITION(1)-2.pptx
PROTEIN ENERGY MALNUTRITION(1)-2.pptxPROTEIN ENERGY MALNUTRITION(1)-2.pptx
PROTEIN ENERGY MALNUTRITION(1)-2.pptx
 
Protein calorie malnutrition
Protein calorie malnutritionProtein calorie malnutrition
Protein calorie malnutrition
 
Nutritional dermatoses pdf
Nutritional dermatoses pdfNutritional dermatoses pdf
Nutritional dermatoses pdf
 
Disorders OF PROTEIN METABOLISM
Disorders OF PROTEIN METABOLISMDisorders OF PROTEIN METABOLISM
Disorders OF PROTEIN METABOLISM
 
Protein Energy Malnutrition ans Policies in India
Protein Energy Malnutrition ans Policies in IndiaProtein Energy Malnutrition ans Policies in India
Protein Energy Malnutrition ans Policies in India
 
Protein energy malnutrition
Protein energy malnutritionProtein energy malnutrition
Protein energy malnutrition
 
2009 外文讲义2
2009 外文讲义22009 外文讲义2
2009 外文讲义2
 
Nutritional diseases
Nutritional diseasesNutritional diseases
Nutritional diseases
 
Nutrition
NutritionNutrition
Nutrition
 
ANIMAL NUTRITION PRESENTATION SLIDES STD
ANIMAL NUTRITION PRESENTATION SLIDES STDANIMAL NUTRITION PRESENTATION SLIDES STD
ANIMAL NUTRITION PRESENTATION SLIDES STD
 
Nutritional disorders
Nutritional disorders Nutritional disorders
Nutritional disorders
 
PEM final.pptx
PEM final.pptxPEM final.pptx
PEM final.pptx
 
1slide share malnutrition modify
1slide share malnutrition modify1slide share malnutrition modify
1slide share malnutrition modify
 
food science nutritional disorder
food science  nutritional disorderfood science  nutritional disorder
food science nutritional disorder
 
Protien calorie malnutrition & starvation
Protien  calorie malnutrition & starvationProtien  calorie malnutrition & starvation
Protien calorie malnutrition & starvation
 
Protein Energy Malnutrition
Protein Energy MalnutritionProtein Energy Malnutrition
Protein Energy Malnutrition
 
Nutrititional Disorders.pptx
Nutrititional Disorders.pptxNutrititional Disorders.pptx
Nutrititional Disorders.pptx
 
1.malnutrition
1.malnutrition1.malnutrition
1.malnutrition
 
Protein
ProteinProtein
Protein
 

Recently uploaded

Shark introduction Morphology and its behaviour characteristics
Shark introduction Morphology and its behaviour characteristicsShark introduction Morphology and its behaviour characteristics
Shark introduction Morphology and its behaviour characteristicsArubSultan
 
4.9.24 School Desegregation in Boston.pptx
4.9.24 School Desegregation in Boston.pptx4.9.24 School Desegregation in Boston.pptx
4.9.24 School Desegregation in Boston.pptxmary850239
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...Nguyen Thanh Tu Collection
 
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...Association for Project Management
 
Employablity presentation and Future Career Plan.pptx
Employablity presentation and Future Career Plan.pptxEmployablity presentation and Future Career Plan.pptx
Employablity presentation and Future Career Plan.pptxryandux83rd
 
6 ways Samsung’s Interactive Display powered by Android changes the classroom
6 ways Samsung’s Interactive Display powered by Android changes the classroom6 ways Samsung’s Interactive Display powered by Android changes the classroom
6 ways Samsung’s Interactive Display powered by Android changes the classroomSamsung Business USA
 
Congestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationCongestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationdeepaannamalai16
 
physiotherapy in Acne condition.....pptx
physiotherapy in Acne condition.....pptxphysiotherapy in Acne condition.....pptx
physiotherapy in Acne condition.....pptxAneriPatwari
 
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxCLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxAnupam32727
 
Decoding the Tweet _ Practical Criticism in the Age of Hashtag.pptx
Decoding the Tweet _ Practical Criticism in the Age of Hashtag.pptxDecoding the Tweet _ Practical Criticism in the Age of Hashtag.pptx
Decoding the Tweet _ Practical Criticism in the Age of Hashtag.pptxDhatriParmar
 
Q-Factor General Quiz-7th April 2024, Quiz Club NITW
Q-Factor General Quiz-7th April 2024, Quiz Club NITWQ-Factor General Quiz-7th April 2024, Quiz Club NITW
Q-Factor General Quiz-7th April 2024, Quiz Club NITWQuiz Club NITW
 
Sulphonamides, mechanisms and their uses
Sulphonamides, mechanisms and their usesSulphonamides, mechanisms and their uses
Sulphonamides, mechanisms and their usesVijayaLaxmi84
 
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...Osopher
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 - I-LEARN SMART WORLD - CẢ NĂM - CÓ FILE NGHE (BẢN...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 - I-LEARN SMART WORLD - CẢ NĂM - CÓ FILE NGHE (BẢN...BÀI TẬP BỔ TRỢ TIẾNG ANH 8 - I-LEARN SMART WORLD - CẢ NĂM - CÓ FILE NGHE (BẢN...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 - I-LEARN SMART WORLD - CẢ NĂM - CÓ FILE NGHE (BẢN...Nguyen Thanh Tu Collection
 
4.9.24 Social Capital and Social Exclusion.pptx
4.9.24 Social Capital and Social Exclusion.pptx4.9.24 Social Capital and Social Exclusion.pptx
4.9.24 Social Capital and Social Exclusion.pptxmary850239
 
Indexing Structures in Database Management system.pdf
Indexing Structures in Database Management system.pdfIndexing Structures in Database Management system.pdf
Indexing Structures in Database Management system.pdfChristalin Nelson
 
Beauty Amidst the Bytes_ Unearthing Unexpected Advantages of the Digital Wast...
Beauty Amidst the Bytes_ Unearthing Unexpected Advantages of the Digital Wast...Beauty Amidst the Bytes_ Unearthing Unexpected Advantages of the Digital Wast...
Beauty Amidst the Bytes_ Unearthing Unexpected Advantages of the Digital Wast...DhatriParmar
 
MS4 level being good citizen -imperative- (1) (1).pdf
MS4 level   being good citizen -imperative- (1) (1).pdfMS4 level   being good citizen -imperative- (1) (1).pdf
MS4 level being good citizen -imperative- (1) (1).pdfMr Bounab Samir
 

Recently uploaded (20)

Shark introduction Morphology and its behaviour characteristics
Shark introduction Morphology and its behaviour characteristicsShark introduction Morphology and its behaviour characteristics
Shark introduction Morphology and its behaviour characteristics
 
4.9.24 School Desegregation in Boston.pptx
4.9.24 School Desegregation in Boston.pptx4.9.24 School Desegregation in Boston.pptx
4.9.24 School Desegregation in Boston.pptx
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
BÀI TẬP BỔ TRỢ TIẾNG ANH 11 THEO ĐƠN VỊ BÀI HỌC - CẢ NĂM - CÓ FILE NGHE (GLOB...
 
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
Team Lead Succeed – Helping you and your team achieve high-performance teamwo...
 
Employablity presentation and Future Career Plan.pptx
Employablity presentation and Future Career Plan.pptxEmployablity presentation and Future Career Plan.pptx
Employablity presentation and Future Career Plan.pptx
 
6 ways Samsung’s Interactive Display powered by Android changes the classroom
6 ways Samsung’s Interactive Display powered by Android changes the classroom6 ways Samsung’s Interactive Display powered by Android changes the classroom
6 ways Samsung’s Interactive Display powered by Android changes the classroom
 
CARNAVAL COM MAGIA E EUFORIA _
CARNAVAL COM MAGIA E EUFORIA            _CARNAVAL COM MAGIA E EUFORIA            _
CARNAVAL COM MAGIA E EUFORIA _
 
Congestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationCongestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentation
 
physiotherapy in Acne condition.....pptx
physiotherapy in Acne condition.....pptxphysiotherapy in Acne condition.....pptx
physiotherapy in Acne condition.....pptx
 
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptxCLASSIFICATION OF ANTI - CANCER DRUGS.pptx
CLASSIFICATION OF ANTI - CANCER DRUGS.pptx
 
Decoding the Tweet _ Practical Criticism in the Age of Hashtag.pptx
Decoding the Tweet _ Practical Criticism in the Age of Hashtag.pptxDecoding the Tweet _ Practical Criticism in the Age of Hashtag.pptx
Decoding the Tweet _ Practical Criticism in the Age of Hashtag.pptx
 
Q-Factor General Quiz-7th April 2024, Quiz Club NITW
Q-Factor General Quiz-7th April 2024, Quiz Club NITWQ-Factor General Quiz-7th April 2024, Quiz Club NITW
Q-Factor General Quiz-7th April 2024, Quiz Club NITW
 
prashanth updated resume 2024 for Teaching Profession
prashanth updated resume 2024 for Teaching Professionprashanth updated resume 2024 for Teaching Profession
prashanth updated resume 2024 for Teaching Profession
 
Sulphonamides, mechanisms and their uses
Sulphonamides, mechanisms and their usesSulphonamides, mechanisms and their uses
Sulphonamides, mechanisms and their uses
 
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
Healthy Minds, Flourishing Lives: A Philosophical Approach to Mental Health a...
 
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 - I-LEARN SMART WORLD - CẢ NĂM - CÓ FILE NGHE (BẢN...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 - I-LEARN SMART WORLD - CẢ NĂM - CÓ FILE NGHE (BẢN...BÀI TẬP BỔ TRỢ TIẾNG ANH 8 - I-LEARN SMART WORLD - CẢ NĂM - CÓ FILE NGHE (BẢN...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 - I-LEARN SMART WORLD - CẢ NĂM - CÓ FILE NGHE (BẢN...
 
4.9.24 Social Capital and Social Exclusion.pptx
4.9.24 Social Capital and Social Exclusion.pptx4.9.24 Social Capital and Social Exclusion.pptx
4.9.24 Social Capital and Social Exclusion.pptx
 
Indexing Structures in Database Management system.pdf
Indexing Structures in Database Management system.pdfIndexing Structures in Database Management system.pdf
Indexing Structures in Database Management system.pdf
 
Beauty Amidst the Bytes_ Unearthing Unexpected Advantages of the Digital Wast...
Beauty Amidst the Bytes_ Unearthing Unexpected Advantages of the Digital Wast...Beauty Amidst the Bytes_ Unearthing Unexpected Advantages of the Digital Wast...
Beauty Amidst the Bytes_ Unearthing Unexpected Advantages of the Digital Wast...
 
MS4 level being good citizen -imperative- (1) (1).pdf
MS4 level   being good citizen -imperative- (1) (1).pdfMS4 level   being good citizen -imperative- (1) (1).pdf
MS4 level being good citizen -imperative- (1) (1).pdf
 

Faith Educational Solutions for Marasmus

  • 1. MARASMUSMARASMUS 1 Welcome to faith educationalWelcome to faith educational solutionssolutions By santhosh k chackoBy santhosh k chacko Facebook; Nurses-The Heart BeatsFacebook; Nurses-The Heart Beats
  • 2. Marasmus - Definition 2 Marasmus is a form of severe PEM occur as result from a negative energy balance that may occur at any age, particularly in early infancy and is characterized by: Severe wasting (body weight is less than 60% of the expected), the body utilizes all fat stores before using muscles. Loss of subcutaneous fat. Gross muscle wasting. Absence of edema.
  • 3. 3 Children adapt to an energy deficiency with: 1- a decrease in physical activity. 2- lethargy. 3- a decrease in basal energy metabolism. 4- slowing of growth. 5- finally, weight loss. Cont..
  • 4. Etiology: 4 The specific cause may be: 1. Poor feeding habits due to improper training. lack of breast feeding and the use of dilute animal milk. 2.A physical defect e.g. cleft lip or cleft palate or cardiac abnormalities, which prevent the infant from taking an adequate diet.
  • 5. Etiology: 5 3. Diseases, which interfere with the assimilation of food e.g. cystic fibrosis. 4. Infections, which produce anorexia. 5. Loss of food through vomiting and diarrhea. 6. Emotional problems e.g. disturbed mother- child relationship.
  • 6. Sign and symptoms 6 1. Growth retardation: Weight is less than 60% of expected for age and sex. Length, head, chest, and abdominal circumferences are also affected but to a lesser extent than weight.
  • 7. Assessment (S&S) 7 2. Loss of Subcutaneous Fat from: The abdominal wall leading to loss of skin elasticity The limbs (thighs and buttocks): the skin becomes wrinkled and hanging into longitudinal folds. The buccinators pad of fat is the last to disappear.This leads to hollowing these cheeks, which leads to triangle face and an appearance resembling the old man.
  • 8. Assessment (S&S) 8 3. MarkedWasting of Muscles: This together with the loss of subcutaneous fat lead to Scaphoid abdomen with marked thinning of abdominal wall. Stick -like appearance of limbs.
  • 9. Assessment (S&S) 9 4. Psychic Changes: Marasmic infants look anxious, irritable, excessively cry and sleep little. However, they look less miserable than the cases of kwashiorkor. Marasmic infants are usually hungry and have good appetite. Sometimes, there is anorexia and poor feeding.
  • 10. Assessment (S&S) 10 5. Chronic diarrhea with or without vomiting. 6. Intercurrent infections: Like otitis media, bronchopneumonia, urinary tract infections. 7. Associated deficiencies of iron, vitamin A and D. 8. Hypothermia due to loss of subcutaneous fat.
  • 11. Laboratory Findings: 11 Blood glucose levels Hemoglobin levels Urinalysis Stool tests Electrolyte test.
  • 12. Treatment of Marasmus 12 The best way to treat Marasmus is to give the affected individual a healthy and nutritious diet which is rich in proteins and calories so that the body gets sufficient energy to function. There are specific methods of refeeding and rehydrating the affected individual so as to prevent complications arising out of refeeding. The methods generally used for refeeding are use of IV fluids, rehydration solutions administered orally, and feeding through NG tubes.
  • 13. Complications of Marasmus: 13 Lack of proper growth in children Joint deformities Severe weakness Permanent vision loss Organ failure Coma.
  • 14. 14