Q:

You suspect a metabolic problem in a 30-day-oId girl presented With poor feeding, vomiting lethargy, and convulsion

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You suspect a metabolic problem in a 30-day-oId girl presented With poor  feeding, vomiting lethargy, and convulsion, Previous sibling died With the same condition. Serum ammonia, pH, HCO3, and anion gap are normal. Of the following, the MOST likely diagnos is


  1. porphyria
  2. galactosemia
  3. organic acidemia
  4. urea cycle defect
  5. aminoacidopathy

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