Just sharing from what we hve learnt from dr muhd during bedsite teaching today.
Since today we hve examine ptn at 1yo with kwashiokor, here are some differences between kwashiorkor and marasmus
🐥Kwashiorkor
1.inadequate protein intake , good caloric intake
2.Pitting edema (lower ext > generalized in severe case + moon face)
3.reserved subcutaneous fat, marked atrophy of muscle mass
4.mentality : apathy , disinterest in eating
5.marked skin changes : hyperpigmented hyperkeratosis to macular rash (more common)
6.hair changes : sparse , easily plucked , dull brown/red/yellow white (more common)
🐣Marasmus
1.inadequate calories n nutrients , protein may not deficient
2.edema usually absent
3.loss of subcutaneous fat and muscle mass
4.mentality : irritable
5.skin changes : less common
6.hair changes (as kwashiorkor) : less common
