Progressive Abdominal Distension in Pediatrics — 3yo Child | Pediatric Gastroenterology | SMLE Q#8452
SMLE Question #8452
Pediatrics
Pediatric Gastroenterology
Objective: OBJ-289
Last updated: February 2026
A 3-year-old girl is evaluated during a community screening for progressive abdominal distension and bilateral leg swelling. She has generalized pitting edema, marked muscle wasting, hyperkeratotic skin changes, sparse dry depigmented hair, and apathy but is alert. Which of the following most directly contributes to these findings?
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