Multisystem Processes & Disorders

{"ops":[{"insert":"The appetite test"},{"insert":"\n","attributes":{"header":1}},{"insert":"In children who are malnourished, appetite is a valuable indicator of their current clinical status. In particular, a poor appetite suggests a need for inpatient care.\r\n\r\nTo assess this, an appetite test with ready-to-use therapeutic food (RUTF) can be performed. These are energy-dense micronutrient enhanced pastes used in therapeutic feeding.\r\n\r\nRUTF should be gently offered to the child via their caregiver. If the child refuses to eat, the caregiver should continue to quietly encourage them for up to half-an-hour. Note that the child should never be forced to eat.\n"},{"insert":"Severe malnutrition"},{"insert":"\n","attributes":{"header":1}},{"insert":"Malnutrition is the end result of chronic nutritional deprivation. This is often due to a combination of poverty, poor understanding by the caregivers, and family problems.\r\n\r\nIn children who are between 6 to 59 months of age, severe malnutrition is defined as the presence of at least one of the following:\r\n\r\n\u2022 Weight-for-height \u2264 -3 z-score.\r\n\u2022 Mid-upper-arm circumference \u003C115 mm.\r\n\u2022 Presence of bilateral peripheral edema.\n"}]}

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