Can someone help me please? This was a question on the NBME 15.
6yo girl has been receiving treatment with potassium citrate monohydrate since dx with renal tubular acidosis at age 2yo. Physical exam is within normal limits. Na 142, K 3.5, Cl 115, HCO3 18, BUN 9, Creatinine 0.9. A defect in renal ammoniagenesis suspected. Which substrate is source of ammonia production?
Glutamine???
6yo girl has been receiving treatment with potassium citrate monohydrate since dx with renal tubular acidosis at age 2yo. Physical exam is within normal limits. Na 142, K 3.5, Cl 115, HCO3 18, BUN 9, Creatinine 0.9. A defect in renal ammoniagenesis suspected. Which substrate is source of ammonia production?
Glutamine???
