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A newborn girl appeared normal at birth, but within 24 hours she developed lethargy, hypothermia, and...

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Biology

A newborn girl appeared normal at birth, but within 24 hours shedeveloped lethargy, hypothermia, and apnea. The attending physiciansuspects a metabolic disorder and orders a panel of labs.

Which diagnostic would be the best to distinguishbetween a urea cycle disorder and a disorder in ​β -oxidation? WHYIS THE OTHER ONES NOT AN OPTION

1. Blood glucose

2. Urinary acids

3. Serum fatty acids

4. Plasma glutamine

A full blood work up was ordered for this female and the data ispresented below.

The initial blood ammonia level was elevated at 314 ug/dl(normal range = 17–80) and rapidly rose to 600 ug/dl.

The urine orotic acid level was markedly elevated at 473 umol/Lcreatinine (nl = 0–3). The plasma citrulline level was normal at 10uM/L (nl = 12–55).

In this patient where orotic acid levels are elevated,list one urea cycle enzyme that is ​most likely deficientand one urea cycle enzyme that is ​least likely​​ to be impaired.EXPLAIN WHY NOT OTHER ENZYMES

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