“Síndrome del niño maltratado por negligencia como causa de desnutrición crónica severa en madre adolescente”

Abstract

The following case is about a female patient of 4 years 6 months, preschool, born and resident in Montalvo-Tungurahua, product of first pregnancy, pregnancy of adolescent mother, poorly controlled, well tolerated, home delivery, immediate crying, feeding with milk Exclusive maternal up to one year of age, complete immunizations for age through home visits, adequate height growth until 11 months as reported by mother, apparently hospitalized at 11 months of age by EDA + dehydration, after which girl presents progressive and chronic weight loss whose control and follow-up is carried out in Montalvo Health Center. He comes referred for the first time from the Health Center for Severe Malnutrition, to the patient physical examination with syndromic aspect, corporal cephalogram disproportion, senile appearance, cachectic, thorax with protruding medial deformation, muscular hypotrophy, diminished adipose panniculus universal respecting Bichat bag, dental caries , psychomotor delay, patient remains hospitalized for 10 days receiving medical attention and nursing staff, nutritional education to the mother and grandmother, valued by the services of Dentistry, Psychology, Social Work is discharged for follow-up by stable External Consultation and with weight gain.