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
Poor prognostic factors in a child with kwashiorkar include all of the following- 
Select and explain. 
A. Hypothermia, B. Hepatomegaly, C. Purpura, D. Dermatosis
B: Hepatomegaly
Answer: B: Hepatomegaly 
Explanation: Ans. is 'b' i.e., Hepatomegaly o Hepatomegaly is one of the essential diagnostic feature of kwashiorkor, it does not indicate poor prognosis. o Poor prognostic factors in PEM, which can lead to early death ? Hypothermia 4. Diarrhea 7. Cardiac failure Hypoglycemia 5. Severe anemia 8. Dehydration or overhydration Systemic infections 6. Liver failure 9. Fluid & electrolyte imbalance