0521779407-14 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:16
950 Marasmus■Severe tissue wasting
■Loss of subcutaneous fat (decreased mid-arm muscle circumference
and triceps skinfold)
■Dehydration
■Anorexia
■Diarrhea
■Lassitude
■Glossitis
■Alopecia
■Dry/depigmented hair
■Desquamation of skin
■Weakness, decreased muscle strength
■Decline in functional activities of daily living
■Depressed immune function
■Skin breakdown, pressure ulcers
■Decreased cardiopulmonary function
■Increased morbidity and mortality
tests
Basic Studies: Blood
■Sodium, Iron, CBC, Chloride
■Magnesium, Ferritin, Creatinine
■Calcium, Transferrin, T3, T4
■Potassium, Albumin, Copper
■Phosphorus, Cholesterol, B12, chloride
Basic Studies: Urine
■Urinary urea nitrogen
■Urine acetone
Anthropometrics
■Blood pressure
■Mid-arm muscle circumference (MAMC)
■Height
■Triceps skinfold (TSF)
■Weight
■usual
■present
■changes
■Arm muscle circumference (AMC)
Specific Diagnostic Tests
■Pre-albumin
■Creatinine height index (CHI)