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Appendix 2 Flow Chart Diagram of Protein Energy Malnutrition ![]() ![]() ![]() ![]() Primary malnutrition Secondary malnutrition ![]() ![]() ![]() ![]() ![]() ![]() ![]() Alimentary factors Syndromes of malabsorption Infectious factors Congenital disease Hereditary anomalies of metabolism Psychosocial deprevation ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Clinical manifestation ![]() ![]() ![]() ![]() ![]() 2nd degree malnutrition. Infant has 20-30 % loss of body weight. The skin is pale, flabby. Subcutaneous fatty layer is thinned on the abdomen and the extremities. Lag of development of motor functions. Lag of growth is 1-3 cm. Irregular type of weight curve. Disappearance of monothermia. 1st degree malnutrition Infant has 10-20 % loss of body weight. The skin is pale, flabby. Subcutaneous fatty layer is thinned on the abdomen. Flat weight curve 3rd degree malnutrition. Infant has more than 30 % loss of body weight. The skin is wrinkled. Subcutaneous fatty layer is absolutely absent. Temporary loss of static skills. Lag of growth is more than 3 cm. Irregular type of weight curve. Disappearance of monothermia. Laboratory data ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Anemia Anemia, hypoglucemia, hypocholesterinemia Anemia, hypoglucemia, hypocholesterinemia, hypoproteinemia, acidosis Treatment ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Minerals Regimen and Care Vitamins Diet Rehydration Ferments Antibiotics |
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