Abnormalities Arising From Abnormal Embryological Development Flashcards

1
Q

One of the most common sites of atresia is ________ with an incidence of ________, mostly occurs at the ________

A

Duodenum, 1 in 10k to 30k births,the ampulla of vater.

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2
Q

Duodenal atresia occurs either due to ________ or ________.

A

Complete mucosal membrane or a blind- ending proximal loop probably due to failure of canalization of the duodenum after the 7th week of life due to ischemia.

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3
Q

Associated anomalies can occur in ________ of cases including: ________ and ________.
Presentation may be in antenatal us as ________ or Post natal on the us as ________.

A

50%, down $, Prader Willi $.

Polyhydraminous, double bubble sign.

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4
Q

Atresia or stenosis can occur at any site of the GIT, the presenting feature of duodenal atresia is ________ usually after ________.

A

Bilious vomiting, the 1st feed.

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5
Q

Exomphalos occurs with an incidence of ________, due to ________.

A

1 in 3000, mid line in the anterior. abdominal wall

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6
Q

Exomphalos is ________

A

A membranous sac derived from the amniotic membrane encasing some organs that can include the stomach, intestine, liver and spleen.

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7
Q

Exomphalos is classified according to the size of the abdominal defect into ________

A

Major > 4 cm, minor < 4 cm

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8
Q

Exomphalos is frequently associated with other congenital anomalies as ________and 75 % of patients also have associated structural problems such as ________

A

Trisomy 13,18 and 21, cardiac anomalies

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9
Q

Exomphalos is usually identified by ________ and treated by ________ depending on ________and ________.it ‘s not an emergency providing that ________

A

Antenatal screening, surgical closure,
The size of the defect , wether the sac remains intact.
The intra-abdominal structures are well perfused

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10
Q

The incidence of gastroschisis is ________ and the risk factors incliude:

A

4 per 10k births, low maternal age, drag misuse, low socio-economic status, smoking and ethnic origin.

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