INSTRUCTIONS: PROVIDE EXPLANATION TO THE FOLLOWING QUESTIONS

INSTRUCTIONS: PROVIDE EXPLANATION TO THE FOLLOWING QUESTIONS BELOW. REFER TO COMMENT SECTION FOR FURTHER DETAILS. Sandy, a 10-month old infant was referred to Dr. Tomas by Nurse Vida. She has been having diarrhea for 5 days and had fever 2 days ago. Nurse Vida noticed that she lost appetite even for her usual favorite of thin “lugaw” with a small amount of sugar and milk which has been her usual food. For the past weeks, she is noticed to be sitting quietly against the side of her crib and would not even smile when spoken to. Lately, she was observed to be pale and if she is not quiet, she would be cranky, restless and irritable. Her most recent weight was noted to be 7 kg. Her usual playful attitude is missed by her siblings. Sandy was left at home with her 3 other siblings when her mother leaves at 8 am to report to her work in a grocery store in another barangay. Her eldest sibling is 7 years old sister, followed by a 5 y/o brother then a 3 y/o toddler. Her mother said she endorsed her children to her neighbors to watch for them and Sandy. She arrives home from work past eight in the evening every day. Their father have left the family a month after Sandy was born. Provide the Sandy’s current state of health? (No need to discuss the possible medical conditions she has) What are the possible contributory factors to this state of health? (230 WRDS)

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