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Kaplan Qbank USMLE



Author5 Posts
  #1

a one week old baby.he has decreased muscle tone,decreased responsiveness,normal reflexes,decreased serum bicarbonate,ph of 7.15,plasma albumin level is 10 times upper limit.it is autosomal recessive.what is the diagnosis?

mucopolysaccharidosis

organic acid metabolism disorder

renal tubular acidosis


  #2

Organic acid metabolism disorder.

Many organic acid disorders present in the neonatal period. Typically, an affected newborn appears normal for the first days of life, but then may develop vomiting, poor feeding, failure to thrive, hypoglycemia, hyperammonemia, seizures, hypotonia and lethargy, progressing to coma. Common findings include ketosis, metabolic acidosis and, in some cases, an unusual odor. Many individuals affected with organic acid disorders have a significant risk of death during infancy.


  #3

i agree, it should be B.

___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #4

i feel the same too.but i have no idea what mucopolysaccharidoses is.any idea guys?




  #5

thatīs a step 1 question, check your step 1 books grin

___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.







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