Question of the Week

Question :

Posted On : 29 May 2006

What are the indications of metabolic screening in neonates?

Expert Answer :

No expert answer available.

Answer Discussion :

Dr. Ashish Biswas

poor feeding,vomiting,lethargy,apnoea,seizures,coma,hypoglycemia,hepatosplenomegaly,hypertonia,metabolic acidosis.

18 years ago

diyar ibrahim

convulsions
family history

18 years ago

nikhil agrawal

Vomitings and dullness after starting feeds,otherwise well on iv fluids indicates some metabolic problem

18 years ago

DR.K.SANKARA RAO

hepatospenomagaly
convulsions

18 years ago

pediatriconcall

The decision of which sick neonates should have metabolic testing is based on the clinical phenotype and the results of general laboratory analyses, with particular attention to hypoglycemia, metabolic acidosis, and hyperammonemia. Metabolic tests include analyses for amino acids and organic acids and a carnitine profile. Routine newborn screening should be performed on all neonates prior to hospital discharge but no later than the 3rd day of life. Ideally all newborns should be screened for hypohtyroidism and phenylketonuria.

18 years ago

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