month-old Orang Asli (indigenous) baby boy was referred to the visiting Family Medicine Specialist by a nurse for unsatisfactory weight and sign for failure to thrive. He was born full term with a birth weight of 2.42 kg. Pitting edema was visible in both the lower limbs. He was urgently referred to the hospital for suspected kwashiorkor.    i.      What might be the baby’s nitrogen balance be?

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month-old Orang Asli (indigenous) baby boy was referred to the visiting Family Medicine Specialist by a nurse for unsatisfactory weight and sign for failure to thrive. He was born full term with a birth weight of 2.42 kg. Pitting edema was visible in both the lower limbs. He was urgently referred to the hospital for suspected kwashiorkor.  

 i.      What might be the baby’s nitrogen balance be? 


 ii.      Explain what could be the possible cause in (i)


 iii.      How does marasmus differ from kwashiorkor?                                               


 iv.      In what conditions would bring about positive nitrogen balance?             

 v.      In what condition an individual is said to be in a nitrogen balance? 

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