LOOK and FEEL for oedema of both feet A child with oedema of both feet may have kwashiorkor, another form of severe malnutrition. Oedema is when an unusually large amount of fluid gathers in the child's tissues. The tissues become filled with the fluid and look swollen or puffed up. Look and feel to determine if the child has oedema of both feet. Use your thumb to press gently fora few seconds on the topside of each foot. The child has oedema if a dent remains in the child's foot when you lift your thumb.
51 EXERCISE Kb In this exercise, you will look at photographs in the booklet of still photographs and practice identifying signs of severe wasting and oedema in children with malnutrition. Part 1: Now study photographs 67 through 70. Photograph 67: This is an example of visible severe wasting. The child has small hips and thin legs relative to the abdomen. Notice that there is still cheek fat on the child's face. Photograph 68: This is the same child as in photograph 67 showing loss of buttock fat. Photograph 69: This is the same child as in photograph 67 showing folds of skin (baggy pants) due to loss of buttock fat. Not all children with visible severe wasting have this sign. It is an extreme sign. Photograph 70: This child has oedema of both feet. Part 2: Now look at photographs numbered 71 through 78. For each photograph, tick (_) whether the child has visible severe wasting. Also look at photograph 79 and tick whether the child has oedema of both feet. Does the child have visible severe wasting YES NO Photograph 71 Photograph 72 Photograph 73 Photograph 74 Photograph 75 Photograph 76 Photograph 77 Photograph 78 Does the child have oedema of both feet YES NO Photograph 79
