You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is 5 yr/M presented with fever for 10 days, for which child was given some medication. He has developed anorexia & vomiting for last 3 days, altered sensorium for 1 day. The child also had 2 episodes of seizures 1 day before presentation. O/e the child was hemodynamically stable, had no pallor or icterus, no meningeal signs. Liver was palpable-2cm below right costal margin, blood glucose 40 mg%, Hb 11 g/dl, TLC 8300, Platelet count 2.8 lac/mm3, PT was 58/12 sec. What is the diagnostic possibility? and explain in detail?
Given scenario suggests diagnosis of: Reye syndrome Alagille Syndrome- Triangular faces, conjugated jaundice Tyrosinemia- hepatorenal involvement, peripheral neuropathy