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Management of pcm and sam 2021
This document discusses protein-calorie malnutrition (PEM) in children, including its causes, types, clinical presentations, complications, management, and prevention. Key points: PEM is seen in about half of Pakistani children under 5 and can present as low weight, stunting, or wasting. Severe acute malnutrition increases the risk of death and is caused by low food intake and recurrent infections, which stem from poverty, low education, and poor sanitation/healthcare. Management involves treating complications, providing nutrient-dense therapeutic feeds gradually over time, micronutrients, and follow-up to monitor progress and prevent relapse.
