Milk Is Poison Here – Medical Must Knows Pediatrics #10

Explanation:
Galactosemia, caused by GALT deficiency, impairs the conversion of galactose into glucose-1-phosphate. This leads to the accumulation of toxic metabolites, resulting in symptoms such as vomiting, jaundice, hepatomegaly, and an increased risk of E. coli sepsis in neonates.
🩺 Early diagnosis through newborn screening is essential for preventing complications.
🍶 Treatment involves eliminating lactose and galactose from the diet.
❌ Why the other options are incorrect:
A) Eliminate gluten: Gluten is associated with celiac disease, not galactosemia.


C) Eliminate phenylalanine: This is necessary for phenylketonuria (PKU), not galactosemia.


D) Eliminate sucrose: Sucrose is not relevant to the treatment of galactosemia.


Tags:
#MedicalMustKnows #Galactosemia #InbornErrors #Pediatrics #LiverInjury #EColiSepsis #Neonatology #USMLE #NBME #Step1 #PLE #Topnotch #ExpertMD #FocusReviewCenter #CrackingDBoards #LegendReviewCenter #SureMD #MedicalBoardExamSamples #PLEReviewQuestions #USMLEPracticeQuestions #BoardExamQuestions #PhysicianLicensureExam #SamplePLEQuestions #SampleBoardQuestions #MedicalExamPractice #MedLicensureReview #BoardExamReview #USMLEStyleQuestions #PracticeForPLE #PLETestSamples #BoardReviewQuestions #PracticeMedicalBoards #ExamQuestionsForDoctors #MockBoardExam #PLEStyleQuestions #MedicalBoardsPreparation #ClinicalCaseSamples #MultipleChoiceMedicine #PracticeQuestionsForMedStudents


References:
Nelson Textbook of Pediatrics, 21st Edition
Harper’s Illustrated Biochemistry, 31st Edition
BRS Pediatrics, 2nd Edition
Question:
A neonate presents with vomiting, jaundice, hepatomegaly, and is found to have E. coli sepsis. What dietary change is essential?
A) Eliminate gluten
B) Eliminate lactose
C) Eliminate phenylalanine
D) Eliminate sucrose
Answer:
✅ B) Eliminate lactose
Title:
Milk Is Poison Here – Medical Must Knows Pediatrics #10
Field: Pediatrics