A child has been diagnosed with marasmus due to the fact that the parents have both lost their jobs and have very limited funds for food

Which of the following clinical manifestations would the school nurse assess that would confirm this diagnosis? Select all that apply.
A) Discolored hair
B) Bradycardia
C) Enlarged liver
D) Pitting edema
E) Stunted growth pattern


Ans: B, E
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Inadequate food intake, with equal deficiencies of calories and protein, is the cause of marasmus, which is characterized by low heart rate, blood pressure, and body temperature; dull hair; and an emaciated appearance. Hair discoloration, enlarged liver, and pitting edema are manifestations of kwashiorkor, which is a severe protein deficiency.

Health & Biomechanics

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