But clinically dehydration and malnourishment (malnutrition: "faulty nutrition due to inadequate or unbalanced intake of nutrients or their impaired assimilation or utilization"-MW/Medline online dict.) are pretty different. Malnourishment/nutrition is not an acute process and needs some time to develop and is brought about by the lack of nutrients not found in water (protein, CHO, etc.). One can easily be malnourished to the point of marasmus a/o kwashiorker and still be well hydrated. Your severe anorectic is malnourished, but probably hydrated. Conversely dehydration is generally an acute to subacute process. In children with a vomiting and diarrheal illness dehydration may set in within hours. A new onset T1 diabetic may get dehydrated over the course of days to a few weeks. But the majority of those who become dehydrated are not malnourished. And the treatment for dehydration and malnourishment is pretty different as well. Probably the only time that dehydration and malnourishment a nearly synonymous, in other than a semantic but not clinically useful sense, is in the neonatal to first months period.