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Differential diagnosis of hyperammonemia

Differential diagnosis of hyperammonemia
Reye syndrome
Gastrointestinal bleeding
Renal disease
Urinary tract infection with a urease-producing organism (eg, Proteus mirabilis)
Ureterosigmoidostomy
Shock
Severe muscle exertion/heavy exercise
Cigarette smoking
Transient hyperammonemia in newborns
Certain inborn errors of metabolism (urea cycle defects and organic acidemia)
Any cause of portosystemic shunting of blood
Parenteral nutrition
After high-dose chemotherapy
Drugs such as:
Valproic acid
Barbiturates
Narcotics
Diuretics
Alcohol
Salicylate intoxication
Systemic Mycoplasma hominis or Ureasplasma spp infection in lung transplant recipients
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