1, The child had sustained episodes of ketoacidosis which is
nondiabetic due to negative glucose in UA. There is a metabolic
disorder in children called isovaleric academia.
2, sweaty feet odor in urine indicate isovaleric acidemia. It is an
autosomal recessive disease of leucine metabolism. clinical
symptoms associated with this condition are vomiting and severe
acidosis.
3, Rapid spot test for identifying urine methylmalonic acid in
urine samples make accurate screening for methylmalonic acidemia in
isovaleric acidemia.
4, when there is metabolic defect there is phenyl ketonemia present
due to the presence of phenolic hydroxyl.
5, GEnetic testing registry(GTR) provides information about genetic
tests.ACTion (ACT) sheet, Algorithm flowchart, babies the first
test, and newborn screening provides information related to the
diagnosis.
Case #2 • A newborn infant develops severe vomiting and symptoms of metabolic acidosis. • Results...
Question 1 A newborn develops severe vomiting and symptoms of metabolic acidosis. Urinalysis results are positive for ketones and negative for glucose and other reducing substances. Which of the following screening tests would be positive in this patient? Clinitest Ehrilch test DNPH Ferric chloride tube test Question 2 If the urine had an odor of " sweaty feet", what metabolic disorder would be suspected? methylmalonic acidemia isovaleric acidemia propionic acidemia MSUD Question 3 If a newborn was producing dark brown...
Case #8 Erin is a 3 week-old female infant who began vomiting three days after birth, usually within 30 minutes after breastfeeding. Her abdomen became distended at these times and she became irritable and cried frequently. When her mother noted that the whites of Erin's eyes were yellow, she took her to a pediatrician. The doctor agreed that Erin was slightly jaundiced. He also noted an enlargement of her liver and questioned the possibility of early cataract formation in the...
1-12 please practice PATIENT CASE Mother's Chief Complaints "Our daughter has been vomiting and has had diarrhea for three days. She also has had a fever, but I've been giving her acetaminophen every six hours. The clear liquids and Pedialyte that she has been drinking don't seem to be helping much and she looks so sickly." HPI J.L. is a 4%-month-old Asian American female infant who was taken to the emergency room of a local hospital because her parents were...
Urinalysis Case 6-2 Kate R., a high school basketball player, had been hosnitalized with a threat infection, fever, and a question of pneumonia. She had been taking some antibiotics. Her physician noted edema and elevated blood pressure. See Table 6-2 for UA results. Table 6-2 Urinalysis Kate R. Reference Range Macroscopic Color Appearance Specific gravity pH Protein Glucose Ketones Bilirubin Blood Urobilinogen Nitrite Leukocyte esterase Red Cloudy 1.028 6.0 2+ (100mg/dL) (SSA:2+) Neg Colorless to amber Clear 1.001-1.035 5-7 Neg...
Urinalysis Case 6-2 Kate R., a high school basketball player, had been hospitalized with a throat infection, fever, and a question of pneumonia. She had been taking some antibiotics. Her physician noted edema and elevated blood pressure. See Table 6-2 for UA results. Table 6-2 Urinalysis Kate R. Reference Range Macroscopic Color Appearance Specific gravity Red Cloudy 1.028 Colorless to amber Clear 1.001-1.035 5-7 pH 6,0 Neg 2+ (100mg/dL) (SSA:2+) Neg Neg Neg Protein Glucose Ketones Bilirubin Blood Urobilinogen Nitrite...