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A 6 month old girl is brought to ED because of increased crying, sweating and shaking chills. Mother states that until recently child had been breast fed but she was not weaning her. Symptoms started soon after feeding child applesausce and pureed pears. Onset started 1 hour later. Based on history and labs tentative diagnosis is made. 1. What enzyme deficiency do you think is present and why?

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The General Principles section of the USMLE covers these topics:
Biochemistry
Genetics
Microbiology
Pathology
Pharmacology


1. A 6 month old girl is brought to ED because of increased crying, sweating and shaking chills. Mother states that until recently child had been breast fed but she was not weaning her. Symptoms started soon after feeding child applesausce and pureed pears. Onset started 1 hour later. Based on history and labs tentative diagnosis is made. 1. What enzyme deficiency do you think is present and why?





 
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