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At 10:00AM Lylaa's mother brought her 3-year-old daughter to emergency department with difficult arousal from sleep

Anwaar
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2022-09-12
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At 10:00 AM Lylaa's mother brought her 3-year-old daughter to emergency department with difficult arousal from sleep, low grade fever, and cough for the last 2 days. Fasting g blood sugar was 36 mg/dL with ketonuria. Of the following, the MOST likely diagnosis is

  1. galactosemia
  2. propionic acidemia
  3. ketotic hypoglycemia
  4. hereditary fructose intolerance
  5. medium-chain acyl-CoA dehydrogenase (MCAD) deficiency
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Anwaar
2022-09-12
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(C). During acute episodes of medium-chain acyl-CoA dehydrogenase (MCAD) deficiency, hypoglycemia is usually present; plasma and urinary ketone concentrations are inappropriately low (hypoketotic hypoglycemia)

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