This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Pediatrics
h/o consumption of rice milk, child preseting with protruded abdomen low albumin but no proteinuria what is the probable diagnosis ? 
Select and explain. 
A. kwashiorkar, B. marasmus, C. nephrotic syndrome, D. liver failure
A: kwashiorkar
Answer: A: kwashiorkar 
Explanation: Kwashiorkor Clinical Manifestations Diagnostic Signs : Edema , Muscle wasting Psychomotor changes Common Signs : Hair changes , Diffuse depigmentation of skin , Moonface , Anemia Occasional Signs: Flaky-paint , rash , Noma , Hepatomegaly Laboratory: 1. Decreased serum albumin 2. EEG abnomalities 3. Iron & folic acid deficiencies 4. Liver biopsy fatty or fibrosis may occur ref : op ghai 9th ed