Kwashiorkor

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Kwashiorkor

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Questions

USMLE® Step 1 style questions USMLE

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A 5-year old girl presents to the clinic for a well-child check. She was recently adopted from a refugee camp in Southeast Asia, and her biological family history is unknown. Her parents are concerned that she appears very thin but has a large protuberant abdomen. Temperature is 37°C (98.6°F), pulse is 90/min, respirations are 14/min and blood pressure is 110/70 mmHg. On physical exam, she appears irritable and minimally consolable by her mother. Examination reveals a distended abdomen, bilateral pitting edema, and muscle wasting. Laboratory results are significant for hypoalbuminemia, anemia, and hypophosphatemia. What is the most likely cause of edema seen in this patient’s condition? 

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First Aid

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Anemia

kwashiorkor p. 69

Edema

kwashiorkor p. 69

Kwashiorkor p. 69

Skin lesions

kwashiorkor p. 69

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Summary

Kwashiorkor is a type of malnutrition that results from severe protein-energy deficiency in diet. It is most often seen in developing countries, where people may not have access to a variety of foods. Kwashiorkor can cause a number of symptoms, including swelling, weakness, hair loss, and changes in skin color. In severe cases, kwashiorkor can lead to death.