PROTEIN ENERGY MALNUTRITION (PEM)- Kwashiorkor and Marasmus
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- čas přidán 22. 08. 2024
- PEM
Protein-energy undernutrition (PEU)
Kwashiorkor
Marasmus
causes
Cases
treatment
Case 1
A 4 year old girl brought to the hospital with a complaint of failure to thrive and generalized swelling all over the body. She had a history of repeated respiratory infections and intermittent diarrhea. She belongs to a poor family and resides in a slum area.
Diagnosis- Kwashiorkor (Protein-energy malnutrition)
Cause - Low protein in the diet
Treatment - high protein diet
Case 2
A 3 year old child from a poor illiterate family reported with edema, discoloration of hair and skin, anemia, diarrhea. His serum albumin and K+ were low.
i) Give the diagnosis and etiology
ii) What is the cause of edema
Albumin level decreases in kwashiorkor hence oncotic pressure decreases. The oncotic pressure is in direct opposition with the hydrostatic pressure and tends to draw the water back into capillaries by osmosis. Hence in albumin deficiency, fluid accumulates in the tissues and causes edema.
iii) Suggest line of treatment and preventive measures
Supportive therapy-ORS for diarrhea
High protein diet- Eggs, meat, fish, pulses, mushrooms etc
Vitamin and mineral supplementation
Vaccination for the age
PROTEIN energy malnutrition-
The range of condition arising from lack of calories and protein in a child below 5 years of age.....
Classes-
Kwashiorkor
Marasmus
Marasmickwashior.....
Weight/height
Mid upper arm circumference...
Kwashiorkor-
1-5 year age
PROTEIN
Weight/height 60- 80 percent
Hair flag, sparse
Moon face
Dermatitis
Distension , hepatosplenomegaly
Fatty liver
Edema
Albumin .5-2 gm/DL......
Marasmus-
Less than 1 year
Calories
W/h less than 60 Percent
No change in hair
Old man
Shrunken abdomen
No liver enlargement
More than 2 gm/ dL...
Cause-
Poverty
Improper weaving
Chronic infection
Malabsorption....
Complications-
Repeated infection
Hypoglycemia
Hypothermia
Dehydration
Shock
Vitamin and mineral deficiency....
Treatment-
Cause treatment
Complications
Vitamins and minerals supplemention
Vaccination....
Thank you sir
Thank You Himanshu
So helpful thanks
Thank you so much 😊
Sir please explain Oncotic pressure
Thank u sir!
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Thank you ! It was a good lecture sir ! Sending love & respect from Afghanistan 🇦🇫
Again Thanku sir 🙏
U are like life Savior for biochemistry in this time of university examination.... 🤗🤗
Knowledge full & interesting video sir
Best explain 🙏
thank you sir. this video has helped me so much
Thanks sir i was waiting for this topic..u make topic so easy to understand 🙏
Thanks very much sir😊, we usually skip like this topic,and it's very imp for our exams💯
A good presentation sir
Sir, serum cortisol levels in marasmus is increased and kwashiorkor is decreased. Is it because in marasmus, since we have a calorie deficiency, it's increased to increase levels of glucose ?
Thank you. Very helpful video, sir! :)
Sir your video is very helpful for me
Thank you sir ❤❤
Thank you sir for this video
its a humble request kindly upload video on PCR sir
I love the teaching I easily understand
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Thanks , its really helpful to my demonstration, your really good explanation and clear English
But in developed countries obesity and overnutrition are major problems 😁😁😁
I'm in a developed country and still malnourished and fat due to fluid retention. Looks can be deceiving.
@@Dimensionalalteration You know Hindi ??
@@Dimensionalalteration which country?
Iam also thinking that
lmao wrong
Sir , what abt marasmic Kawashirkor
Excellent class sir
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Thanks sir
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Sir please make video on body fluids and radioisotopes with their clinical applications
Thank you sir bcoz I want read this topic in easy way
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Sir..I m going to complete my Bsc in biochemistry this month, I m intrested in teaching and I wanted to do PhD. So which one should I opt for Msc Biochemistry or MSc food and nutrition. Please guide me.
Thankyouuu so much sir… u make biochemistry simple and interesting..😍
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Thank u sooo much
Uganda 🇺🇬
You are amazing. Thank you so much you helped a lot.
Thank you sir ....vary effective information .....
Sir aap acchi trah se padhate hai. Kya aap cold chain par video layege pliz...
Best explain
Thanks teacher
Thank you so much sir
Thank you sir for this topic 🙏
Sir, if marasmus is the overall deficiency of nutrients then why is it kept in the category of protein energy malnutrition?
Sir can u please continue with the video series of important topics for University examination specifically Genetics🙏🙏
Thank you sir this video is help for demo class
An amazing content.... Helping us a lot.. Thank u sir
Plz make a video on dehydration and overhydration
Thank you so much sir🥺
You are just so good in explaining 🥺😭
Excellent sir 💚
Kya bath hai sir ❤️❤️❤️
Thank you so much for your afford sir
I am really greatful to you🙏...this lecture really helped me lot
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Plz upload the video on balanced diet n dietary nutrition also
Praise worthy sir 👍🏽👍🏽👍🏽
very good class. dr. habib from bd
Amazing ❤️
Thank you sir😊!
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Thanku so much sir
sir you made it very easy.
Sir pls make video on PCR
ITS A HUGE REQUEST COMMENTIMG 4TH TIME
PLS HELP,OUR EXAMS ARE COMING🙏🙏🙏
Dear SR I used to deliver online lectures. I am preparing PCR & DNA sequencing lectures soon.
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Thank you sir🙏🙏
Thank youuu sir .
thank u sir for clear cut explanation 🙏🙏🙏
Tq so ........much sir for good explanation
Thanks a lot sir 🙏
Which is the first indicator for Protein-Energy malnutrition 1. Weight for height or Mid upper arm circumference??
Sir plz ek lecturer obesity........
sir thanks for u
Hii sir Mera basic complete
Mohd Danish
👍👍👍
Tq sir
Sir which book should I refer for clinical cases with their all explanation and approach in biochemistry.sir please reply.
Satyanarayana has explained every clinical condition at the level of students u can refer to it...,
Alhamdulillah...
Anemia in women presentation, bta dijiye
Sir cancer or hiv and PCR kra do 🙏🙏🙏🙏🙏🙏
Thank u so much sir. plss do more videos on nutrition unit🙏🙏
Where is preventive measures
man saving me from destroying my ward test due in 5 hrs 😭❤
🔥🔥🔥
Plz make video on obesity
Sir, in marasmus, there is primary calorie deficiency,
so we see hypoglycemia. Similar way , all proteins are also used for producing energy isn't? then why we are not seeing HYPOPROTEINEMIA in marasmus? sir
It goes down but not below 2gm/dl
@@Rajesh_Jambhulkar oh
Thank you sir
💕💕👍👍
Sir ,sop of colorimeter please
💙
Sir, i am a student, this lecture help me a lot, now i write a proposal so for proposal i need reference... Can you please provide me the reference
🤗
Sir plz make a video on obesity
Sir hai to Sab sambhab. Sir please start a seris on mcq practice of important topics.
sir what about PEM in adults ?
Sir malnutrition b yhi ha
Malnutrition is the enemy. People who suffer from Malnutrition get sick a lot easier. We need more propaganda to encourage people to eat plenty of fruits and vegetables. If you don't eat your fruits and vegetables no dessert. Those are the rules.
Lord jambhukhar
Liablility
Mohd Danish
Thank you sir ❤
Thanks
Thank you sir
Thanks sir
Thank you so much sir😍
👍👍👍
Thank you sir❤
Thank you sir
Thank you sir ❤❤