TY - CHAP M1 - Book, Section TI - Emergency Medicine, Metabolic Disease A1 - McCarthy, Jeanette J. A1 - Mendelsohn, Bryce A. Y1 - 2016 N1 - T2 - Precision Medicine: A Guide to Genomics in Clinical Practice AB - The crucial recognition that an Inborn Error of Metabolism (IEM) is at play often comes from a nongeneticist practitioner. Rather than serve as a textbook of the many biochemical pathways affected in IEMs, this section is intended as a general and practical overview to facilitate the initial recognition and early management of a suspected metabolic crisis and provide an introduction to the most common diagnostic and management strategies. The detailed diagnosis of IEMs, interpretation of complex biochemical labs, and the nuanced management of these patients is the purview of the specialist and therefore this section cannot replace timely consultation with a specialist should such a situation arise. Biochemical genetics is a subfield of Medical Genetics and physicians who specialize in this field are available around the world. Because of the rarity of IEMs, involvement of this type of specialist is often inevitable for diagnosis and management. Illnesses caused by IEMs that present more subtly (e.g., as developmental delay) are discussed in Chapter 5. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/24 UR - accessmedicine.mhmedical.com/content.aspx?aid=1134735011 ER -