what are the criterias to say the pediatric patient SAM

The criteria for diagnosing a pediatric patient as having severe acute malnutrition (SAM) typically include the following:

1. Weight-for-height/length measurement less than -3 standard deviations below the median on the WHO growth charts.
2. Presence of nutritional edema (bilateral pitting edema).
3. Mid-upper arm circumference (MUAC) less than 11.5 cm.
4. Severe muscle wasting.
5. Visible severe nutritional deficiency symptoms such as brittle hair, swollen cheeks, and dry, flaky skin.
6. Presence of medical complications such as hypothermia, hypoglycemia, or severe anemia.

It is important to note that accurate diagnosis and classification of SAM should be done by trained healthcare professionals using standardized anthropometric measurements and clinical assessment tools.