Protein energy malnutrition laboratory tests: Difference between revisions
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Created page with "__NOTOC__ {{Protein energy malnutrition}} {{CMG}}; {{AE}} {{DAMI}} ==Overview== ==Laboratory findings== ==References== {{Reflist|2}}" |
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==Laboratory findings== | ==Laboratory findings== | ||
Laboratory findings consistent with the diagnosis of protein energy malnutrition include: | |||
*Abnormally low blood glucose | |||
*Abnormal blood smears by microscopy or direct detection testing | |||
*Decreased serum hemoglobin | |||
*Abnormal urinalysis and culture | |||
Specific laboratory findings in patients with kwashiorkor include: | |||
*Hypoalbuminemia (10-25 g/L) | |||
*Hypoproteinemia (transferrin, essential amino acids, lipoprotein) | |||
*Hypoglycemia | |||
*Elevated plasma cortisol and growth hormone levels | |||
*Decreased insulin secretion and insulin-like growth factor | |||
*Increased percentage of body water and extracellular water | |||
*Depletion of electrolytes, especially potassium and magnesium | |||
*Decreased levels of some enzymes (including lactase) | |||
*Iron deficiency anemia and metabolic acidosis | |||
Specific laboratory findings in patients with marasmus include: | |||
*Increased urinary 3-methylhistidine, a reflection of muscle breakdown | |||
*Urinary excretion of hydroxyproline is diminished, reflecting impaired growth and wound healing | |||
*Iron deficiency anemia | |||
*Metabolic acidosis | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 16:37, 7 August 2017
Protein energy malnutrition Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]
Overview
Laboratory findings
Laboratory findings consistent with the diagnosis of protein energy malnutrition include:
- Abnormally low blood glucose
- Abnormal blood smears by microscopy or direct detection testing
- Decreased serum hemoglobin
- Abnormal urinalysis and culture
Specific laboratory findings in patients with kwashiorkor include:
- Hypoalbuminemia (10-25 g/L)
- Hypoproteinemia (transferrin, essential amino acids, lipoprotein)
- Hypoglycemia
- Elevated plasma cortisol and growth hormone levels
- Decreased insulin secretion and insulin-like growth factor
- Increased percentage of body water and extracellular water
- Depletion of electrolytes, especially potassium and magnesium
- Decreased levels of some enzymes (including lactase)
- Iron deficiency anemia and metabolic acidosis
Specific laboratory findings in patients with marasmus include:
- Increased urinary 3-methylhistidine, a reflection of muscle breakdown
- Urinary excretion of hydroxyproline is diminished, reflecting impaired growth and wound healing
- Iron deficiency anemia
- Metabolic acidosis