Normal Glucose in Pediatrics — Case | Neonatology | SMLE Q#18382
SMLE Question #18382
Pediatrics
Neonatology
Objective: OBJ-386
Last updated: February 2026
A 2-day-old term neonate is brought to the emergency department for progressive lethargy, poor feeding, and recurrent vomiting since day 1 of life. The infant is drowsy and hypotonic on examination. Testing shows marked hyperammonaemia with normal glucose, no metabolic acidosis, and negative ketones. What is the most appropriate next step in management?
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