system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 32-year-old woman comes to the emergency department because of a 5-day history of anxiety, irritability, insomnia, and abdominal pain that began after a weekend of partying. She also reports “bloody” urine as well as a tingling sensation in her hands and feet. She has never experienced similar symptoms. She does not smoke but says that she tends to drink too much (5 or more drinks) when partying with friends. Her temperature is 37°C (98.6°F), pulse is 123/min, and blood pressure is 124/70 mm Hg. Examination shows slightly decreased power in the shoulders (3/5) and thighs (4/5), along with hyporeflexia. Urine dipstick shows:
Blood Negative
Protein Negative
WBC Negative
Bilirubin Negative
Urobilinogen 3+
This patient's condition is most likely caused by a defect in which of the following enzymes?"
assistant
Porphobilinogen deaminase