Look and feel for Kwashiorkor - utilizing IMMCU5

Introduction / Background: Malnutrition is an important contributory factor for mortality and morbidity among infant and young children globally and locally with prevalence among Orang Asli (OA) remains high. Pahang which has the highest number of OA population recorded more than two thousand recip...

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Main Author:	Kamaruzaman, Nor Azam
Format:	Conference or Workshop Item
Language:	English English
Published:	2019
Subjects:	RJ101 Child Health. Child health services
Online Access:	http://irep.iium.edu.my/70873/ http://irep.iium.edu.my/70873/1/Look%20and%20feel%20for%20kwashiorkor%20-%20oral%20presentation.pdf http://irep.iium.edu.my/70873/13/70873%20%20Kwashiorkor.pdf

id	iium-70873
recordtype	eprints
spelling	iium-708732019-03-11T01:33:48Z http://irep.iium.edu.my/70873/ Look and feel for Kwashiorkor - utilizing IMMCU5 Kamaruzaman, Nor Azam RJ101 Child Health. Child health services Introduction / Background: Malnutrition is an important contributory factor for mortality and morbidity among infant and young children globally and locally with prevalence among Orang Asli (OA) remains high. Pahang which has the highest number of OA population recorded more than two thousand recipients for food basket in 2015 with nearly half were OA. The state had developed a comprehensive manual on assessment and management of malnourished children called The Integrated Management of Malnutrition in Children under 5 (IMMCU5). It emphasizes on detection of severe malnutrition by three simple steps: take weight for age, look for visible severe wasting and feel for oedema of both feet. Case description / Clinical experience: A 5 months old OA boy was brought to a clinic in Pekan, Pahang after defaulted last follow-up. He is the first child to a 23 year old mother who are mentally challenged and living in poverty, on an isolated hill. During the visit, the infant was asymptomatic. He appeared chubby with noticeably shiny skin on limbs but his weight was only 4.5kg with Very Low Weight for Age, WFA (< -3SD). Baffled by the incongruous findings, referral was made to Family Medicine Specialist who promptly recognized Kwashiorkor by eliciting the sign of pitting oedema on both feet. The mother had been feeding her baby with condensed milk after breastfeeding was stopped for the past three months. Inpatient care and then nutritional rehabilitation were instituted according to IMMCU5 manual. The infant recovered well with WFA later returned to normal. Conclusion: This case highlighted the importance of using the correct method in detecting subtle sign of Kwarshiorkor that might be missed by an untrained personnel. 2019 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/70873/1/Look%20and%20feel%20for%20kwashiorkor%20-%20oral%20presentation.pdf application/pdf en http://irep.iium.edu.my/70873/13/70873%20%20Kwashiorkor.pdf Kamaruzaman, Nor Azam (2019) Look and feel for Kwashiorkor - utilizing IMMCU5. In: First National Infant and Young Child Feeding Scientific Conference, 20th-21st February 2019, Kota Bharu, Kelantan. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RJ101 Child Health. Child health services
spellingShingle	RJ101 Child Health. Child health services Kamaruzaman, Nor Azam Look and feel for Kwashiorkor - utilizing IMMCU5
description	Introduction / Background: Malnutrition is an important contributory factor for mortality and morbidity among infant and young children globally and locally with prevalence among Orang Asli (OA) remains high. Pahang which has the highest number of OA population recorded more than two thousand recipients for food basket in 2015 with nearly half were OA. The state had developed a comprehensive manual on assessment and management of malnourished children called The Integrated Management of Malnutrition in Children under 5 (IMMCU5). It emphasizes on detection of severe malnutrition by three simple steps: take weight for age, look for visible severe wasting and feel for oedema of both feet. Case description / Clinical experience: A 5 months old OA boy was brought to a clinic in Pekan, Pahang after defaulted last follow-up. He is the first child to a 23 year old mother who are mentally challenged and living in poverty, on an isolated hill. During the visit, the infant was asymptomatic. He appeared chubby with noticeably shiny skin on limbs but his weight was only 4.5kg with Very Low Weight for Age, WFA (< -3SD). Baffled by the incongruous findings, referral was made to Family Medicine Specialist who promptly recognized Kwashiorkor by eliciting the sign of pitting oedema on both feet. The mother had been feeding her baby with condensed milk after breastfeeding was stopped for the past three months. Inpatient care and then nutritional rehabilitation were instituted according to IMMCU5 manual. The infant recovered well with WFA later returned to normal. Conclusion: This case highlighted the importance of using the correct method in detecting subtle sign of Kwarshiorkor that might be missed by an untrained personnel.
format	Conference or Workshop Item
author	Kamaruzaman, Nor Azam
author_facet	Kamaruzaman, Nor Azam
author_sort	Kamaruzaman, Nor Azam
title	Look and feel for Kwashiorkor - utilizing IMMCU5
title_short	Look and feel for Kwashiorkor - utilizing IMMCU5
title_full	Look and feel for Kwashiorkor - utilizing IMMCU5
title_fullStr	Look and feel for Kwashiorkor - utilizing IMMCU5
title_full_unstemmed	Look and feel for Kwashiorkor - utilizing IMMCU5
title_sort	look and feel for kwashiorkor - utilizing immcu5
publishDate	2019
url	http://irep.iium.edu.my/70873/ http://irep.iium.edu.my/70873/1/Look%20and%20feel%20for%20kwashiorkor%20-%20oral%20presentation.pdf http://irep.iium.edu.my/70873/13/70873%20%20Kwashiorkor.pdf
first_indexed	2023-09-18T21:40:36Z
last_indexed	2023-09-18T21:40:36Z
_version_	1777413113653493760

Look and feel for Kwashiorkor - utilizing IMMCU5

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