This document discusses disorders of purine and pyrimidine metabolism. It begins by describing nucleotides and their role in various metabolic functions. It then focuses on the synthesis and degradation of purines, including a multi-step process for inosine monophosphate synthesis in the liver. Disorders covered include xanthinuria, caused by a deficiency in xanthine oxidase leading to kidney stones, and orotic aciduria, associated with megaloblastic anemia due to decreased pyrimidine synthesis. The document provides details on causes, symptoms, diagnosis, and treatment for these disorders of purine and pyrimidine metabolism.