Pediatric emergency medicine trisk 0985 0985
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Urine
Metabolic diseases
Metabolic
disease
odors
Phenylketonuria
Mousy, musty,
horsey,
wolflike,
barny
Stale locker
room
towels
Maple syrup urine
Maple syrup,
disease (branchedcaramel,
chain ketonuria)
boiled
Chinese
herbal
medicine
Oasthouse urine
Dried malt or
disease
hops
(methionine
(brewery),
malabsorption)
celery, yeast
Odor of sweaty feet Sweaty feet or
syndrome
socks, ripe
(isovaleric
cheese
acidemia)
Odor of cat’s urine
Male “tomcat”
syndrome (biotinurine
responsive multiple
carboxylase
deficiency)
Cystinuria
Rotten eggs
Fish odor syndrome Dead or
(trimethylaminuria)
rotting fish
Odor of rancid butter Fishy, musty,
syndrome
rotten
(tyrosinemia)
cabbage
Body
Toxins
Toxin odors
Marijuana (THC)
Sweet and sour
Nitrites, lacquer,
Sweet, fruity
ethanol, isopropyl
alcohol,
chloroform
Paraldehyde, chloral Pears
hydrate
Cyanide
Bitter almonds,
peach pits
Cicutoxin
Carrots
Disulfiram,
mercaptan,
hydrogen sulfide
Rotten eggs
Zinc phosphide
Musty, fish, raw
liver
Arsenic,
phosphorous,
dimethyl
Garlic
