Hypermethioninemia

 
 
Describe the disease frequency, pathophysiology, clinical presentation, diagnostic protocols, and treatment/prognosis:
Hypermethioninemia
 
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Pyruvate carboxylase deficiency

 
Describe the disease frequency, pathophysiology, clinical presentation, diagnostic protocols, and treatment/prognosis:
Pyruvate carboxylase deficiency
 
 
 
 
 
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Elevated ALP and CK

 
During a caesarean section, a woman had a seizure. Several blood biochemical levels were measured, but the two that were increased were alkaline phosphatase (ALP) and creatine kinase (CK). When the woman was able to be questioned, she stated that she was an epileptic and that she had missed her medication dose.
1. What clinical conditions are associated with elevated ALP and CK?
2. In this case, what is the likely cause for elevation of these enzymes?
 
 
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Acute pancreatitis

A patient with clinical signs and symptoms of acute pancreatitis had an extremely elevated serum lipase and an undetectable serum amylase. When amylase was measured in urine, it was extremely elevated.
1. Does this man have acute pancreatitis?
2. What would explain the discrepant results?
 
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