nutritional oedema

nutritional oedema

Abnormal fluid retention in the tissues (oedema) resulting especially from lack of protein in states of starvation or malnutrition. Oedema can, however, occur in starvation even if the blood levels of albumin are not lowered.
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On discharge summaries completed by the hospital staff, we determined whether information was appropriately completed/ recorded in the following fields: (i) patient identifiers (first name, surname, gender, hospital number, and dates of birth, admission, and discharge or death); (ii) outcome of hospitalisation; (iii) details of doctor completing the summary (name, signature and date of completion of summary); (iv) HIV status (HIV exposure, and CD4+ and viral load results for infected children); (v) anthropometric status (admission weight and length/height, presence of nutritional oedema, and discharge weight); (vi) ICD-10 codes for children diagnosed with any form of lower respiratory tract infection (LRTI) (e.g.
Proportions of parameters that were complete and accurate in paediatric discharge summaries (N=1 148) Domain n (%) Patient identifiers Name 1 050 (91.5) Surname 1 042 (90.8) Gender 1 071 (93.3) Hospital number 962 (83.8) Date of birth 920 (80.1) Date of admission 963 (83.9) Date of discharge 933 (81.3) Discharge outcome 1 049 (91.4) Doctor details Name 1 124 (97.9) Doctor's date 1 085 (94.5) HIV exposure 972 (84.7) Anthropometric parameters Admission weight 1 049 (91.4) Admission length/height 814 (70.9) * Discharge weight 575 (50.0) ([dagger]) Nutritional oedema 1 032 (89.9) LRTI 503 (43.8) Correct ICD-10 for LRTI 338 (67.2) LRTI = lower respiratory tract infection; ICD-10 = International Statistical Classification of Diseases and Related Health Problems, 10th revision.
Severe Acute Malnutrition is defined by very low weight-for-height/length (Z-score below -3 SD of the median WHO child growth standards), and/or a upper arm circumference (MUAC) <115 mm and/or by the presence of nutritional oedema. SAM increases significantly the risk of death in children under five years of age.
Golden et al (13) in a study examined the association between plasma albumin and nutritional oedema by observing the changes in albumin during loss of oedema in patients on a restricted diet.
Anti-diuretic factor in the urine of children with nutritional oedema: Nutritional oedema is associated with an increased secretion of an anti-diuretic substance (probably anti-diuretic hormone) which prevents the normal excretory response to water administration.
With a view to reveal the precise role of ferritin in the pathogenesis of nutritional oedema, Gopalan and Srikantia (17) investigated the sequence of changes occurring in induced protein and calorie under-nutrition with focus on oedema formation in monkeys.
Treatment of nutritional oedema syndrome (kwashiorkor) with vegetable protein diets.
Severe Acute Malnutrition (SAM) is defined by very low weight for height/length (Z score below -3 SD of the median WHO child growth standards), a mid-upper arm circumference <115 mm, or by the presence of nutritional oedema. [2]
They should also be able to recognise nutritional oedema of the feet, which is another sign of this condition.

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