DireWolf said:
so what does it mean when a boy smells like boiled cabbage?
Howdy,
OK, I forgot the most of the stem and follow up questions (I think one of them had to do with myofascial release
) but the child was 2 weeks old and not feeding well. The kid had white hair, light skin and blue eyes. And the father said that he smelled like cabbage.
From this information you should have been able to determine that the child was suffering from tyrosinemia. THere were two ways to figure this out
An unusual odor can be particularly helpful in several disorders:
Odor Disorder
musty phenylketonuria
cabbage tyrosinemia
maple syrup maple syrup urine disease
sweaty feet isovaleric acidemia, glutaric acidemia type II
cat urine 3-methylcrotonyl CoA carboxylase and multiple carboxylase deficiencies
Second, you could have recalled the
Point mutations in the murine fumarylacetoacetate hydrolase gene: Animal models for the human genetic disorder hereditary tyrosinemia type 1 [Proc Natl Acad Sci U S A. 2001 January 16; 98 (2): 641?645 Medical Sciences Aponte JL et al]
study which demonstrated that:
All mice were bred at the Life Sciences Division of the Oak Ridge National Laboratory. Generation of ENU-induced mutations mapping to the large 6- to 11-centimorgan c26DVT deletion has been described (27, 28). Briefly, BALB/cRl (albino, c/c) males treated with ENU were mated to (C57BL/10Rl ? C3Hf/Rl) G0 females (+/+). Then G1 females carrying the mutagenized paternal chromosome 7 were mated to males carrying the long deletion (cch/c26DVT; cch is the chinchilla allele at c, and cch/c gives a light chinchilla coat color). Albino G2 progeny were examined for expression of recessive mutations (m), because this phenotypic class carries the mutagenized chromosome 7 opposite the deletion chromosome (c m/c26DVT). All mutations can be maintained by crossing heterozygous carriers (cch +/c m) if the hemizygotes and homozygotes cannot be bred.
Newborn mutants lack eye pigment and can be distinguished from wild-type pigmented littermates.
Thus using our deductive reasoning we can confidently answer that this child was bred specifically to demonstrate a hereditary tyrosinemia type 1 and would require rib raising or an indirect technique (HVLA is containdicated on neonates) at T4-T9 to facilitate lymph drainage and sympathetics that would be diminished secondary to the viserosomatic effect of the liver failure, as demonstrated by TART. Simple.
And don't forget to call CPS to report his parents for child abuse.
