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[index Pemilik Lapak 501]

Malnutrition results from inadequate intake or abnormal gastrointestinal assimilation of dietary calories,excessive energy expenditure,or altered metabolism of energy supplies by an intrinsic disease process.

 

Both outpatients are at risk for malnutrition if they meet one or more of the following criteria =

-Unintentional loss of > 10 % of usual body weight in the preceding 3 months.

-Body weight

-Body mass index

 

Clinical features

 

-General = weight loss,temporal and proximal muscle wasting,decreased skin fold thickness

-Skin,hair,nails = easyly plucked hair,easy bruising,petechiae,and perifollicular hemorrhages,"flaky paint" rash of lower extremities.

-Eyes =Conjuctival pallor,night blindness,dryness,and Bitot spots,ophtalmophlegia

-Mouth and mucous membranes = glossitis and or cheilosis

-neurologic = disorientation,confabullation,cerebellar gait,or past pointing.

 

Laboratory

-Low serum albumin

-Elevated PT

-Specific vitamin deficiency