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History and examination
History
will probably be unrevealing. Attention should be given to family history of mental retardation, mental illness, dislocated ocular lens, severe myopia and early onset thrombo-embolism.
Examination
should reveal a clinically normal neonate.
It is essential to refer to a metabolic center to ensure that the child and family receive the necessary metabolic evaluation.
Contact metabolic physician
 for
elevated methionine
ENSURE THAT THE REPEAT NEWBORN SCREENING SAMPLE IS SENT TO THE
NEWBORN SCREENING LABORATORY AND THE RESULT OBTAINED AS SOON AS POSSIBLE.
(Go to NNSGRC for the state labs)
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