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Kaplan Qbank USMLE



Author5 Posts
  #1

To rehabilitate children who have kwashiorkor, what mineral, in addition to protein, must especially be in the diet?

A. Calcium.

B. Phosphorus.

C. Sodium.

D. Potassium.

E. Iodine.

  #2

D potassium but I don't know why?
Could you explain please?

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deep breathing...

  #3

Oncotic pressure decreases :arrow: fluid flows from intravascular to extravascular :arrow: stimulate Renin-Angiotensin :arrow: Aldosterone :arrow: K+ loss
Also dietary deficiency of K+ (along with other minerals and vitamins)

  #4

Thanks Meg, the explanation about the mechanism of K+ loss was outstanding.
I still have one Q, among all the other minerals that the Kwash patient needs why correct K especially?
I know hypokalemia can cause death by cardiac arrest but is there another explanation?

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deep breathing...

  #5

Perhaps because K+ is the major ICF cation, responsible for resting membrane potential etc... its effects are quite pronounced compared to others and need to be corrected promptly. Others also will need to be supplemented for sure , for eg the flag sign(depigmentation of hair) is due to Cu++ def. ) in Kwashiorkor.. so other ions are also deficient but probably the K+ replenishment is more vital ( from cardiac and internal milieu point of view as u have mentioned.







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