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THE USUAL COURSE OF NEONATAL HYPERAMMONEMIA-1

PATIENT DIAGNOSIS TREATMENT

home

Mother: “sleeps too long”

peripheral

hospital

Hyperammonemia

(May) Start Pharmacological

Treatment

3 rd

level

hospital

Metabolic defect

Starts (continues) Pharmacological

Treatment

Metabolism expert

Neonatologist

RESPONSE

NO RESPONSE

Biochemistry Lab

Nephrologist

RE-FEEDING

DIALYSIS

OUTCOME ANALYSIS

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