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A 58 year old man with end stage renal disease exhibits tremor, slurring of speech and occasional confusion . physical exam reveals asterixis . oral administration of neomycin resolves his symptoms . Decreased level of which substance is ultimately responsible for his symptoms
alpha-ketoglutarate
ammonia
cholesterol
glutamata
oxidised nicotinamide adenine dinucleotide phosphate
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fourth choice is GLUTAMATE
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fourth choice is GLUTAMATE
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ammonia
Neomycin supresses the bacterial flora that produce ammonia in gut.
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ammonia
Neomycin supresses the bacterial flora that produce ammonia in gut.
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leschnyhan is absolutey right........
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leschnyhan is absolutey right........
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Agree..Ammonia - Pt has hepatic encephalopathy.
