Metabolism 101: Tutorial 2 - The metabolic crisis

For the non-metabolic | taught by Mark Korson
  • 29 Videos
  • 1 Quiz
  • 7 Surveys
  • 1 Text
  • 1 PDF

Course Curriculum

DRAFT Tutorial introduction/objectives
DRAFT Tutorial 2 introduction and objectives
Hide Content
Pre-course assessment
Pre-course assessment
Hide Content
DRAFT Chapter 1: Defining a metabolic crisis
Symptoms of a metabolic crisis
Chapter 1 question 1
Symptoms of a metabolic crisis - continued
Sudden infant death syndrome - metabolic differential diagnosis
Hide Content
DRAFT Chapter 2: Metabolic triggers: stress
Acute metabolic disorders
Catabolic cascade
Example: organic acidemia
Hide Content
DRAFT Chapter 3: Metabolic triggers: diet
Causes and classification
Chapter 3 question 1
Example: hereditary fructose intolerance
Hide Content
DRAFT Chapter 4: Metabolic triggers: fasting
Causes and classification
Example: glycogen storage disease type I
Body response to fasting
Chapter 4 question
Example: glycogen storage disease type I continued
What triggers a metabolic crisis: questions to ask
Hide Content
DRAFT Chapter 5: Constructing a list of basic tests
Protein metabolism defects
Carbohydrate metabolism defects
Fatty acid oxidation defects
Routine lab tests to order
Hide Content
DRAFT Chapter 6: The clinical significance of basic testing
Blood gases and electrolytes
Chapter 6 question 1 (Brenda)
Chapter 6 question 2 (Eddie)
Blood gases and electrolytes continued
Urine ketones
Chapter 6 question 3
Liver function tests and CBC, differential
Glucose and lactate
Hide Content
DRAFT Chapter 7: Specific metabolic testing
Amino acids
Organic acids
Example interpretations
Hide Content
DRAFT Chapter 8: Summary
Hide Content
Post-course evaluation
Post course evaluation
Hide Content
Essential slides for download
Metabolism 101 Tutorial 2 Essential slides
Hide Content
eLearning course survey
Course survey link
Hide Content

Course description

Course Title:

Metabolism 101: The metabolic crisis

Program Overview:

Many metabolic diseases are associated with acute clinical or biochemical decompensation, i.e., a metabolic crisis. This type of presentation is among the most characterized aspects of metabolic disease and also the most feared since such events represent true medical emergencies. However, crises also tend to occur in mostly treatable disorders. The clinical symptoms and signs of a crisis are outlined, along with a review of some classic disease phenotypes, and an approach for testing for a possible metabolic diagnosis.


Mark Korson, MD - Senior Medical Director - Genetic Metabolic Center for Education

Credit Hours:

1.0 AMA PRA Category 1 Credit™

Important Dates:

Valid Until: 12/01/2019
Date Released: 12/01/2016
Date Updated: 12/01/2016

Fee Statement:

This activity if FREE to all participants

Commercial Support:

This enduring internet activity has no commercial support

Learning Objectives:

1.Characterize the symptoms of a metabolic crisis

2.Describe the clinical scenarios in which catabolism is active

3.List the triggers that can set off a metabolic crisis

4.Identify the basic testing to order in the case where metabolic disease is a consideration

5.List the testing in a “metabolic screen

Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Nemours and the Genetic Metabolic Center for Education. Nemours is accredited by the ACCME to provide continuing medical education for physicians.

Nemours designates this internet enduring activity for a maximum number of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in this activity.

Disclosure Statement:

The information on this website is provided exclusively for educational purposes. Information about medicine is ever changing. As new research and clinical experience broadens knowledge, changes in treatment and procedures will be necessary. Nemours has consulted with sources believed to be reliable in order to provide information that is comprehensive and in accord with standards of care at the initial time of publication. However, Nemours disclaims any duty to update the information and encourages readers to do so. Nemours makes no warranties, either implied or expressed, that the information contained herein is accurate or complete. Nemours is not responsible for any errors or omissions with respect to the information or for the results obtained from the use of the information. Readers are encouraged to confirm the information with other sources.

Faculty Disclosure:

The listed speaker has no real or apparent conflict of interest to disclose.

Planning Committee Disclosure:

The members of the planning committee have no real or apparent conflict of interest to disclose.

Instruction for Completion:

To receive credit for this unit, view the video files and complete all survey questions. It will take approximately 60 minutes to complete. When you have finished, complete the post-test. Upon scoring at least 70% on the post-test and completion of the evaluation you will be able download your CME/CE certificate.

Clinicians who are not physicians will be provided a certificate of completion to submit for credit in accordance with their state nursing board, specialty society, or other professional association.

Additional Resources:

  • Inborn Metabolic Diseases, 5th Edition, Saudubray et al, eds. Springer Berlin Heidelberg, 2012
  • Vademecum Metabolicum, Diagnosis and Treatment of Inborn Errors of Metabolism, Zschocke J and Hoffman GF, eds. van Karnebeek C, e-ed. Downloadable app - eVm Mobile

Read More


Mark Korson
Mark Korson
MD, Senior Medical Director

Dr. Mark Korson is Medical Director of the Genetic Metabolic Center for Education and is responsible for overseeing both the company’s consultative services and educational content together with a team of biochemical geneticists.

Dr. Korson previously served as Metabolism Service Director (2000-2014) at Tufts Medical Center, where he launched the Metabolic Outreach Service to aid regional teaching hospitals lacking metabolic services. This program educated and advised non-metabolic clinicians, enabling greater participation in the care of metabolic patients.

Since 2007, he has co-directed the North American Metabolic Academy, the premier training conference for genetic trainees on this continent, sponsored by the Society for Inherited Metabolic Disorders. He has given hundreds of lectures in the US and abroad, including Cyprus, Great Britain, Israel, Jordan, Malaysia, and most recently, the Republic of Georgia.

Dr. Korson graduated from University of Toronto Medical School and completed pediatric residency at The Hospital for Sick Children. After a fellowship in genetics and metabolism in 1990 he directed the Metabolism Clinic until 2000 at Boston Children’s Hospital.

Reviews (3)

by Nino Epitashvili

An accurate title

by Denise Fleming
Very clear

by Nazi Tabatadze

by Nino Epitashvili

An accurate title

by Denise Fleming
Very clear

by Nazi Tabatadze