It is a spectrum of nutritional health disorders with growth faltering being the most common detectable sign. its characterized by gross impairment of the body capacity of utilizing proteins & other macronutrients involved in anabolic processes, e.g., tissue syntehsis
Impairement of macronutrients utlization is generally caused by inadequate arrival of supply at the target tissues level
Pan-Malnutrition Types:
- Primary pan-Malnutrition : caused by direct shortage of food intake (protein/energy)
- secondary Pan-Malnutriton: indirectly caused by a pre-existing disease (e.g., diarrhea) or a micronutrients deficinecy conditions
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High risk groups for Pan-Malnutrition, childern aged 6-24 months
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Severe Pan-Malnutriiton :
Manifested clinically as either Kwashiorkor or Marasmus
survival span after symptoms first appear averages less than 1 months
Pan-Malnutrition there are two phases:
Subclincial : nutritional inadequacy leads to metabolic anomalies leading to growth faltering
Clinical: growth faltering leading clinical symptoms resulting in death
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Kwashiorkor: its the disease of the displaced infant, associated mostly with deficiets in protien intake, & is primarily very common in famines. edema, fatty liver, & dermatits are among the differential features
Marasmus: suggested to be a result of inadequacy of food (energy) intake; characterized by severe soft tissue wasting. priamry marasmus is commonly seen druing famines, it may be seen in Jordad in pediatric wards as secondary to persistent diarrhea conditions.
Pan - Malnutrition
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