Metabolic Disorders Diagnosis and Treatment
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Questions and Answers

What is a common characteristic of inherited metabolic disorders?

  • Symptoms that primarily affect muscular strength
  • Temporary symptoms that resolve on their own
  • Severe clinical illness that appears soon after birth (correct)
  • Mild symptoms appearing in adolescence
  • Why can prenatal diagnosis of many metabolic disorders be challenging?

  • It requires advanced surgical techniques
  • It is only possible after the birth of an affected child (correct)
  • Prenatal diagnosis significantly increases the risk of miscarriage
  • Most metabolic disorders are not detectable in utero
  • Which of these symptoms would NOT typically prompt an evaluation for a metabolic disorder in an infant?

  • Experiencing seizures
  • Running a chronic fever without explanation
  • Eating less food than normal (correct)
  • Persistent vomiting
  • Which test is NOT typically part of the initial assessment for suspected metabolic disorders in infants?

    <p>MRI scan of the brain</p> Signup and view all the answers

    What is a major benefit of advances in newborn screening technology?

    <p>Earlier diagnosis and prevention of neurologic crises</p> Signup and view all the answers

    How has tandem mass spectrometry impacted newborn screening laboratories?

    <p>It helps in detecting a broader range of metabolic disorders</p> Signup and view all the answers

    Study Notes

    Inherited Metabolic Disorders

    • Most inherited metabolic disorders are associated with severe clinical illness, which often appears soon after birth.
    • Symptoms may include intellectual disability and severe neurologic involvement.
    • Diagnosis of a specific disorder can be difficult, and treatment may be uncertain.

    Prenatal Diagnosis and Newborn Screening

    • Prenatal diagnosis is available for many metabolic disorders, but it requires identification of a family at risk.
    • Family risk is usually identified only after the birth of an affected child.
    • Effective newborn screening programs, advanced diagnostic techniques, and treatment modalities have improved outcomes for many infants.

    Identifying Infants at Risk

    • Infants suspected of having a metabolic disorder should be referred to centers with expertise in treating these disorders.
    • Warning signs include:
      • Afebrile for no apparent reason
      • Lethargy
      • Vomiting
      • Respiratory distress
      • Seizures

    Initial Assessment

    • Initial assessment should include:
      • Blood gas measurements
      • Electrolyte values
      • Glucose and ammonia tests
      • Urine test for ketones

    Advances in Newborn Screening

    • Advances in newborn screening technology offer opportunities for:
      • Earlier diagnosis
      • Prevention of neurologic crisis
      • Improved intellectual and physical outcomes
    • Tandem mass spectrometry techniques in newborn screening laboratories can detect:
      • A broader range of metabolic disorders
      • Identification of the disorder

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    Description

    This quiz covers the diagnosis and treatment of inherited metabolic disorders, which can appear soon after birth and cause severe clinical illness, intellectual disability, and neurologic involvement.

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