This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'All are seen in Marasmus except – \nSelect and explain. \nA. Hepatomegaly, B. Muscle wasting, C. Voracious appetite, D. Weight loss', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Hepatomegaly is seen in kwashiorkor (not in marasmus).\nMarasmus \n\nIt is characterized by gross wasting of muscle and subcutaneous tissues resulting in emaciation and marked stunting.\nThere is no oedema.\nBody weight is less than 60% expected.\nFat in adipose tissues is severely depleted. However, the buccal pad of fat is preserved until the malnutrition becomes extreme because a higher proportion of saturated fatty acids is stored there and the saturated fat is the last to be depleted.\nSkin is dry, scaly and inelastic with wrinkles.\nThe hair is hypopigmented.\nThe abdomen is distended due to wasting and hypotonia of abdominal wall muscles.\nThe child is alert but irritable.\nThe child may show voracious appetite.', 'role': 'assistant'}]