If a patient has very low levels of serum visceral proteins and poor wound healing but does not look overtly malnourished, they are likely to have
a. hyperglycemia.
b. refeeding syndrome.
c. kwashiorkor.
d. marasmus.
C
Low serum levels of visceral proteins and poor wound healing in a patient with normal fat and somatic protein stores are signs of kwashiorkor, an acute form of protein-energy malnutrition. Marasmus refers to a more chronic form of protein-energy malnutrition in which muscle and fat stores are depleted but visceral protein levels remain normal. Hyperglycemia would not cause low serum levels of visceral proteins, although it may contribute to poor wound healing and risk of infection. Symptoms of refeeding syndrome include malabsorption, cardiac insufficiency, congestive heart failure, respiratory distress, convulsions, and coma.
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