Inborn errors of metabolism

Description

Paediatrics (Endocrine & metabolic) Mind Map on Inborn errors of metabolism, created by v.djabatey on 09/01/2014.
v.djabatey
Mind Map by v.djabatey, updated more than 1 year ago
v.djabatey
Created by v.djabatey over 10 years ago
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Resource summary

Inborn errors of metabolism
  1. presentation
    1. +ve family hx
      1. prev unexplained deaths in fam
        1. after birth
          1. on newborn screening
            1. e.g. PKU
            2. family screening
              1. e.g. familial hypercholesterolaemia
              2. after short period of seeming normality w/
                1. severe neonatal illness
                  1. poor feeding
                    1. vomiting
                      1. encephalopathy
                        1. acidosis
                          1. coma
                            1. death
                              1. e.g. organic acid and urea cycle disorders
                              2. severe illness in infant or older child
                                1. prominent hypoglycaemia
                                  1. acute life-threatening episode (ALTE)
                                    1. near miss cot death
                                      1. presenting similarly to features of severe neonatal illness mentioned
                                        1. e.g. fat oxidation defect- medium chain acyl-CoA dehydrogenase deficiency (MCADD)
                                      2. subacutely after period of normal development
                                        1. starts regressing
                                          1. organomegaly
                                            1. coarse facies
                                              1. e.g. mucopolysaccharide disease
                                                1. hepatomegaly and/or splenomegaly alone
                                                  1. w/ or w/o biochemical upset
                                                    1. e.g.hypoglycaemia- in glycogen storage disease
                                                2. dysmorphic syndrome
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