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Inborn Errors of Metabolism Namrata Singh M.D
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IEM ~~ General approach   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IEM ~~ General approach   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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IEM – Clinical situations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IEM – Clinical situations ,[object Object],[object Object]
IEM – Clinical situations ,[object Object],[object Object],[object Object],[object Object]
IEM Clinical situations ,[object Object],[object Object],[object Object],[object Object],[object Object]
IEM  Clinical situations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPERAMMONEMIA RESP ALKALOSIS ACIDOSIS UREA CYCLE DEFECTS TRANSIENT HYPERAMMONEMIA OF NEWBORN ORGANIC ACIDEMIAS SE CITRULLINE—LOW– EARLY UREA CYCLE DEFECT SLIGHTLY ELEV– TRANSIENT HYPERAMMONEMIA OF NB  MARKEDLY ELEV– CITRULLINEMIA & ARGINOSUCCINIC ACIDEMIA
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IEM Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IEM Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IEM Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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IEM   Some associations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IEM   Associations ,[object Object],[object Object],[object Object],[object Object],[object Object]
IEM    Associations ,[object Object],[object Object],[object Object],[object Object],[object Object]
IEM   Associations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IEM    Associations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IEM    Associations ,[object Object],[object Object],[object Object],[object Object]
IEM  Associations ,[object Object],[object Object],[object Object],[object Object],[object Object]
INITIAL FINDINGS (  POOR FEEDING , VOMITING , LETHARGY, CONVULSIONS ,COMA ) METABOLIC DISORDER INFECTION OBTAIN PL. NH3 HIGH NORMAL OBTAIN BLOOD Ph & CO2 OBTAIN BLOOD Ph & CO2 NORMAL ACIDOSIS NORMAL UREA CYCLE DEFECTS ORGANIC ACIDEMIAS AMINOACIDOPATHIES  GALACTOSEMIA

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Inbornerrorsofmetabolism

  • 1. Inborn Errors of Metabolism Namrata Singh M.D
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  • 16. HYPERAMMONEMIA RESP ALKALOSIS ACIDOSIS UREA CYCLE DEFECTS TRANSIENT HYPERAMMONEMIA OF NEWBORN ORGANIC ACIDEMIAS SE CITRULLINE—LOW– EARLY UREA CYCLE DEFECT SLIGHTLY ELEV– TRANSIENT HYPERAMMONEMIA OF NB MARKEDLY ELEV– CITRULLINEMIA & ARGINOSUCCINIC ACIDEMIA
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  • 33. INITIAL FINDINGS ( POOR FEEDING , VOMITING , LETHARGY, CONVULSIONS ,COMA ) METABOLIC DISORDER INFECTION OBTAIN PL. NH3 HIGH NORMAL OBTAIN BLOOD Ph & CO2 OBTAIN BLOOD Ph & CO2 NORMAL ACIDOSIS NORMAL UREA CYCLE DEFECTS ORGANIC ACIDEMIAS AMINOACIDOPATHIES GALACTOSEMIA