Which patient is most likely to have marasmus based on nutritional assessment?

Marasmus is a form of severe malnutrition characterized primarily by energy deficiency, which typically results in significant loss of body mass and muscle wasting. The nutritional assessment of patients involves several anthropometric measurements, which help determine their nutritional status.

The correct choice highlights a patient with low triceps skinfold measurements and low Mid-Arm Muscle Circumference (MAMC). A low triceps skinfold indicates reduced subcutaneous fat stores, while a low MAMC suggests loss of muscle mass. This combination of indicators is consistent with the profile seen in marasmus, where the body has insufficient energy intake leading to depletion of both fat and muscle reserves.

In contrast, the other options reflect characteristics that are not aligned with the profile of someone suffering from marasmus. For example, a patient with normal serum albumin and high MAMC likely has adequate protein stores and nutritional status, making marasmus unlikely. Similarly, a patient with high transferrin and triceps skinfold suggests better nutritional status, as high transferrin is associated with iron transport and can indicate good dietary intake. Lastly, a patient with normal weight and high Total Lymphocyte Count (TLC) typically shows signs of good immune function and overall health, which does not support the presence of mar