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A patient has problems with digestion and absorption. The patient has not been eating well and has the following symptoms: weakness, dull thin hair, and frequent infections. The patient has lost weight, serum albumin level is 2.6, serum transferrin is decreased, as is the serum prealbumin. How would you rate the patient's level of malnutrition?

a. severe
b. moderate
c. mild
d. minimal

User Vtor
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1 Answer

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Final answer:

The patient's symptoms and lab results—particularly the low serum albumin level—indicate severe protein-calorie malnutrition and malabsorption issues that require medical intervention.

Step-by-step explanation:

Considering the symptoms which include weakness, dull thin hair, and frequent infections, along with significant weight loss and decreased levels of serum albumin (2.6), serum transferrin, and serum prealbumin, the patient's symptoms suggest a systemic issue that is impacting their nutritional status. These clinical markers are indicative of protein-calorie malnutrition. Serum albumin, in particular, is a vital protein that maintains oncotic pressure and transports various substances in the blood, and its low level can lead to fluid imbalances and additional health issues. The patient also shows signs of malabsorption, which contributes to further nutritional deficiencies and could be linked to disorders such as celiac disease or inflammatory diseases of the gastrointestinal tract.

The severity of the malnutrition is graded based on the degree of anthropometric measurements, biochemical markers, and clinical signs. In this case, a serum albumin level of 2.6 g/dL (normal range is generally 3.4 to 5.4 g/dL) along with decreased serum transferrin and prealbumin concentrations point towards a more severe form of malnutrition. The patient's clinical presentation of multiple systemic signs (weakness, hair changes, frequent infections, weight loss) combined with these lab results strengthens the conclusion of a severe level of malnutrition that requires immediate medical intervention.

User Ko Ga
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