Q:

In patients with failure to thrive; chromosomal abnormality,

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 In patients with failure to thrive; chromosomal abnormality, intrauterine infection, and metabolic disorders need to be ruled out. All the following factors are suggestive of metabolic problems EXCEPT


  1. insidious history
  2. recurrent vomiting
  3. neurologic symptoms
  4. cardiomyopathy
  5. renal symptoms

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(A) The history of metabolic disorder is usually acute, severe, and potentially life threatening, recurrent vomiting, liver dysfunction, neurologic symptoms, cardiomyopathy and myopathy, impairment of special senses, renal symptoms,or distinct dysmorphic features and/or organomegaly all are my be a part of metabolic illnes

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