All differentials Flashcards
1 gene -> 2 disease
FGFR2-Beare Stevenson, Apert, Pfeiffer, Crouzon
FGFR3- Achondroplasia, hypochondroplasia, Thanatophoric, Cruzon with acanthosis nigricans, Muenke, LADD (Lacrimo-auriculo-dental-digital/Levy-Hollister), SADDAN (severe achondroplasia with developmental delay and acanthosis nigricans)
COL2A1 Stickler, Spondyloepiphyseal dysplasia congenita, Kneist, Achondrogenesis type 2, hypochondrogenesis
L1CAM- X linked agenesis of corpus callosum, X linked hydrocephalus, MASA (mental retardation, adducted thumbs, shuffling gait, aphasia), X linked spastic paraplegia
DTDST/SLC26A2- Diastrophic dysplasia, atelosteogenesis type 2, achondrogenesis Ib
REQL4- Rothmund-Thompson, Baller-Gerold
Androgen receptor- Kennedy and Androgen insensitivity syndrome
COMP- pseudochondroplasia, muliple epiphyseal dysplasia
SMAD4- Thoracic aortic aneurysm dissection, Juvenile polyposis
PTEN-Cowden, Bananyan-Riley-Ruvalcaba, Proteus-like, PTEN autism
APC- Familial adenomatous polyposis, Gardner and Turcot syndrome
PMP22-Charcot Marie Tooth type 1 (dup), Djerene-Sotos (biallelic), Hereditary neuropathy with liability to pressure palsy (del)
CFTR-Congenital bilateral absence of vas deferens, cystic fibrosis
COL1A1- Caffey, Osteogenesis imperfecta (1-3)
GNAS-Albright Hereditary Osteodystrophy, Pseudopseudohypoparathyroidism, McCune Albright (somatic)
GLI3-Grieg cephalopolysyndactyly, Pallister-Hall
HRAS-Costello and bladder cancer
BRAF- Cardiofaciocutaneous and sporadic colon CA
BRCA2-Hereditary breast and ovarian cancer, Fanconi Anemia
COL4A5 -Alport and spont IVH
WT1-Denys-Drash, Frasier, WAGR (Wilms, aniridia, genitourinary anomalies, growth retardation)
RET-Hirschprung, MEN2a/b
GJB6-Clouston (hyperhidrotic ectodermal dysplasia) and non-syndromic sensorineural hearing loss
MED12-Lujan-Fryns and FG
MYH3-Freeman-Sheldon and Sheldon-Hall
HgB beta chain: beta-thalassemia, sickle cell disease
Many genes ->1 disease
Tuberous Sclerosis Adult polycystic Kidney Breast Cancer Non-syndromic Deafness Retinitis pigmentosum Pfeiffer Noonan HNPCC/Lynch syndrome Stickler Bardet Biedl Joubert syndrome Walker-Warburd Hereditary paraganglioma Fanconi Anemia Non-syndromic hirschsprung Non-syndromic hypertrophic cardiomyopathy Isolated microcephaly/Seckle syndrome Hereditary spastic paraplegia Charcot Marie Tooth syndrome
Abdominal Pain
Hereditary Angioedema (swelling syndrome)
hemochromatosis
lipoprotein lipase deficiency (pancreatitis)
Acute Intermittent Porphyria, Tyrosinemia
Adrenal Insufficiency (e.g. XALD-related)
Ehlers danlos IV (arterial dissection/visceral perforation)
Myotonic dystrophy (tight gallbladder sphincter)
Fabry (acroparathesias)
AgCC
Aicardi syndrome COFS/Cockayne syndrome (cerebrooculofacioskeletal) Meckel-Gruber Joubert Walker-Warburg Zellweger Miller-Dieker Acrocallosal FG Fryns Septo-optic dysplasia Trisomy 8, Trisomy 13 Frontonasal dysplasia Mowat-Wilson
ADHD
Aarskog Fragile X Fetal alcohol syndrome NF1 47,XXX
Adrenal Insufficiency
Congenital adrenal hyperplasia X-CAHypoplasia X-linked adrenoleukodystrophy X-ALD adrenomyeloneuropathy Hemochromatosis
Adrenal tumors
Li-Fraumeni syndrome (adrenocortical)
MEN1 (adrenocortical)
BWS (cytomegaly of fetal adrenal cortex, adrenal neuroblastoma)
Carney complex (bilateral micronodular adrenal hyperplasia)
Albinism syndrome
Chediak Higashi Hermansky-Pudlak Prader Willi syndrome Griscelli OCA (1-4)
Albinism ocular
Nettleship-Falls (XLR)
Forsius-Erikson (XLR)
AR
Alopecia
Hypomelanosis Ito Hypohydrotic Ectodermal Dysplasia Multiple carboxylase def Rothmund Thomson CHILD Acrodermatitis Enteropathica Clouston Hallerman strieff Dyskeratosis congentia (patchy) Gomes-Lopez-Hernandez Incontinentia pigmenti Progeria (Hutchinson Gilford) Goltz X-CDP (patchy) Ectrodactyly ectodermal dysplasia
Ambig genitalia/Hypospadius/Bifid scrotum
Smith-Lemli-Opitz Meckel-Gruber Roberts Campomelic Dysplasia WAGR/Denys-Drash/Fasier Congential adrenal hyperplasia Androgen insensitivity Bardet Biedl Fraser IUGR hypospadius popliteal pterygium Cat-eye 4p-; Wolf-Hirschhorn OEIS (omphalocele, extrophy, imperforate anus spinal sequence) Opitz G Robinow
Anal anomalies
VATER OEIS Cat eye Towns Brock Pallister-Hall Baller-Gerald CHARGE Fraser FG Currarino
Anemia
Fanconi Chediak Higashi Poryphyria Pearson ATRX Thalassemia (alpha or beta) Sickle cell Aase-Smith syndrome (Diamond-Blackfan)
Anencephaly/NTD
Acrocallosal T13, T18, Triploidy, 22q, 13q- Hydrolethalus Meckel-Gruber Roberts Median cleft syndrome Currarino Hyperthermia IDDM MTHFR heterozygote Valproate Tegretol ETOH Warfarin ZIC3
Anesthetic risks
Malignant Hyperthermia Pseudocholinesterase deficiency Myotonic Dystrophy (drugs->hypovent/apnea) Anatomic (diff intubation)- Achon, MPS, 4p, Opitz
Angelman
maternal 15q11.2-q13 on FISH (70%)
paternal UPD 7%
imprinting defect 3%
UBE3A mutation 11%
Angiokeratoma
Fabry Fucosidosis galactosialidosis aspartlyglucosaminuria B-mannisidosis
Aniridia
AD aniridia WAGR Wilm's tumor-Aniridia Gillespie PAX6 Microophthamia linear skin defect Goltz
Anticipation
Myotonic Dystrophy
Fragile X
Huntington
SCA7
Arachnodactyly
Marfan Beals Antley Bixler MEN2b Stickler Marden Walker Homocysteinuria
Ataxia
Fragile X MERFF/NARP/Leigh Huntington Ataxia Telangiectasia Freidrich's Machado Joseph(eye paresis,spastic,parkinson) Spinocerebellar ataxia Leukodystrophy- Zelleweger, Refsum, Tay Sachs and Sandhoff, MSUD (intermittent) Vitamin E def VitB6 Niemann Pick C Ataxia Oculomotor apraxia Charlesvoix-Sag Ataxia Marinesco-Sjogren Gillespie Pyruvate dehydrogenase deficiency Angelman Hypobetaprotinemia abetalipoproteinemia SCAN (Spinocerebellar ataxia with Neuropathy) Dentatorubro-pallidoluysian atrophy (DRPLA) Neuronal ceroid lipofuscinosis
Auditory Canal Atresia
Goldenhar
Fraser
Nager
Treacher Collins
AEC (ankyloblepharon-ectodermal dysplasia clefting syndrome)
Antley Bixler
Atresia of the auditory canal and conductive deafness
SAMS-short stature auditory canal atresia mandibular hypoplasia, skeletal anomalies (GSC)
Autism
Fragile X Tuberous Sclerosis Untreated PKU Tourette Rett Angelman Smith-Lemli-Optiz Dup inv 15q marker Duchenne muscular dystrophy Neurofibromatosis 1 22q11 22q13 del16p11/dup16p13 dup7q Simpson Golabi Behmel Sotos Creatine def Lujan-Fryns ARX homeobox gene Myotonic dystrophy Bardet Biedl Walker Warburg Meckel Gruber Joubert syndrome San Fillipo, MPS3 Biotinidase Neuronal ceroid lipofuscinosis Mitochondrial Urea cycle defects Arginosuccinate lyase deficiency Pitt Hopkins Timothy MASA1 (mental retardation, adducted thumbs, shuffling gait, aphasia) Rubinstein Taybe syndrome Cohen Borjeson-Forssman-Lehmann
Beckwith-Wiedemann
KCNQ1OT1 methylation abnormality 50-60% (loss of IC2)
11p15.5 paternal UPD (10-20%
H19 methylation abnomality 2-7%
CDKN1C mutation 5-10% of simplex
Bleeding diathesis/platelet dysfn/easy bruising
Hemophilia von Willebrand Noonan Wiskott-Aldrich Jacobsen Hereditary hemorrhagic telangiectasia Hermansky Pudluk Ehlers Danlos syndrome (IV) Vit K receptor Def
Blepharphimosis
Schwartz-Jampel Fetal alcohol syndrome Freeman-Sheldon Dubowitz Marden Walker COFS/Cockayne Ohdo syndrome Blepharophimosis ptosis epicanthus inversus
Bone marrow failure
Fanconi Anemia Diamond-Blackfan Shwachman-Diamond Dyskeratosis congenita severe congenital neutropenia Thrombocytopenia absent radii amegakaryocytic thrombocytopenia Osteopetrosis
Breast cancer high penetrance
BRCA1 BRCA2 p53 (Li-Fraumeni) PTEN STK11/LKB1 (Peutz-Jeghers) E-cadherin (lobular) Klinefelter Bloom AT heterozygotes NF1 CHEK2 BRIP1 PALB2
Breast CA models
Gail
BRCApro
IBIS
Bodecia
Broad Thumbs
Pfeiffer Rubinstein-Taybi Oto-Palatal Digital Saethre-Chotzen Brachydactyly D, E LADD (lacrimo-auriculo-dental-digital syndrome) Robinow
CADASIL
Cerebral Autosomal Dominant Arteriopathy Subcortical Infarcts Leukoencephalopathy
Cafe-au lait spots
Neurofibromatosis 1 Neurofibromatosis 2 Tuberous Sclerosis Russell-Silver McCune-Albright LEOPARD (Lentigines EKG abnormalities Ocular hypertelorism Pulmonic stenosis Abnormalities of genitalia Retardation of growth Deafness) Nonnan-NF1 Fanconi Anemia AD café-au-lait spots
Calcification intracranial
Sturge Weber Porphyria Cutanea Tarda Tuberous Sclerosis Cockayne Werner Cytomegalovirus Toxoplamosis
Calcified Falx
Gorlin
PXE (Pseudoxathoma elasticum)
Hyperparathyroid
Vit D intoxication
Cancer chromosomes
Burkitt Lymphoma t(8;14) C-myc-IgH CML t(9;22)(q34;q11) C-abl -breakage cluster region Neuroblastoma (del 1p) Retinoblastoma (del 13q14) Meningioma (-22)
Cancer dysmorphic
Beckwith-Wiedemann Fanconi Anemia Gorlin WAGR Down Syndrome Sotos Bloom Cowden Cockayne Werner Rubenstein-Taybi Klinefelter Fraser 45X/46XY (gonadoblastoma)
CanMeds roles
Medical Expert (the integrating role) Communicator Collaborator Leader Health Advocate Scholar Professional
Cardiac tumors
TSC (rhabdomyoma)
Carney (myxoma)
Gorlin (fibroma)
Cardio-Facio Cutaneous genes
KRAS
BRAF
MEK1
MEK2
Cardiomyopathy
FAOD
Mitochondrial
Barth
Cardiomyopathy dilated
Duchenne musclar dystrophy
Emery Dreifuss muscular dystrophy
Limb Girdle muscular dystrophy
Myotonic Dystrophy (more commonly arrhythmia)
Kearns Sayre
MERRF (myoclonic epilepsy with ragged red fibres)
MELAS (Metabolic Encephalopathy Lactic Acidosis Stroke)
LCHAD
Cardiomypathy hypertrophic
LCHAD Mucopolysaccaridosis Fabry's disease GSD (esp Pompe) Noonan Freidrich's Ataxia FHC (Familial Hypertrophic Cardiomyopathy)
Cardomyopathy restricted
Hemochromatosis Endocard fibroelastosis Fabry Refsum Pseudoxanthoma elasticum
Cataract (Adult)
Myotonic Dystrophy Stickler Conradi-Hunermann Pseudohypoparathyroidism AD cataracts
Cataract (Neonatal)
Rubella Hallerman-Streif Zellweger Lowe Chromosomal (Down S) Marinesco Sjogren COFS/Cockayne Galactosemia Galactokinase deficiency sulfite-oxidase deficiency molybdenum cofactor deficiency
Causal
temporal strength biologic gradient consistency plausibility coherance experiment analogy
Channelopathies
hyperkalemic periodic paralysis myotonia fluctuans paramyotonia congenita long QT 3 Episodic Ataxia 2 familial hemiplegic migraine Congen Stationary night Blind hypokalemic periodic paralysis malig hyperthermia
CHARGE (what it stands for)
Coloboma Heart Atresia choanae Retarded growth/develop Genital Ear
Cherry Red Spots
gm1 gangliosidosis Niemann-Pick 1a Tay Sachs (GM2 Gangliosidosis) Sandhoff (GM2 Gangliosidosis) Sialidosis Krabbe (sometimes)
CHILD (what it stands for)
Congenital
Hemidysplasia
Ichthyosisform Erythroderma
Limb defects
Choanal Atresia
Antley Bixler CHARGE Lenz Majewski Apert Crouzon Saethe Chotzen Pfeiffer
Cholestasis
Alagille Alpha-1 antitrypsin deficiency ARC Byler Zellweger Cystic fibrosis
Cholesterol pathway syndromes
Antley Bixler Greenberg Dysplasia CHILD Lathosterolosis Smith-Lemli-Opitz Desmosterolosis CDPX2 steroid sulfatase deficiency congenital adrenal hyperplasia
Chromatin remodeling
Alpha thalassemia X-linked retardation Rett ICF syndrome (immunodeficiency, centromeric instability and facial anomalies) Rubinstein-Taybi Floating Harbour Coffin-Lowry
Chromosomal breakage
Ataxia telangiectasia Xeroderma pigmentosum Cockayne Fanconi anemia Bloom syndrome Nijmegen breakage syndrome
Chromosome stains
Q G R NOR C (centromeric) DAPI
Ciliopathy
Bardet Biedl Kartagener Polycystin kidney disease Senior-Loken Joubert OFD1 Meckel
Cirrhosis
Alpha-1 antitrypsin Hemochromatosis Ethanol abuse Wilson's Tyrosinemia Galactosemia Berardinelli Lipodystrophy
Cleft lip +/ cleft palate
Trisomy 13 Dilantin Van der Woude Ectrodactyly and ectodermal dysplasia Roberts
Cleft palate
Cleft palate ankylglossia (XLR) Shprintzen Oto-palatal digital Stickler Accutane Nager 22q11 DS