Birth Defects Flashcards
Vacterl Association
Vertebral anomalies Anal atresia Cardiac anomalies Tracheo-esophageal fistula Renal Limb Leading hypothesis is that it evolves in the trophoblastic day 7 stage
Acutane as a Teratogen
Tetralogy of Fallot
Teratogens
Thalidomide Vitamin A analogues Cholesterol synth inhibitors Anticonvulsants ACE Inhibs Ethyl alcohol
Targeted Ashkenazi Jewish screening
1/4 chance heterozygote for a AR disease: Tay-Sachs (hexosaminidase A), Canavan, Gaucher, Niemann-Pick, Bloom, Fanconi, mucolipidosis
Hemoglobinopathy screening
MCV
CF screening
Generally genetic screen of parents - 50 % caught with one mutation DF508
Mom then dad if she’s positive then amniocentesis if both
Lung Fluid Regulation
Secretion driven by Cl
Reabsorption by Na
Apgar Score
t
Assigned at 1 and 5 minutes and then every 5 minutes until 7 or more or 20 minutes
Differential Oxygenation
Pre-ductal blood (head and right arm well-oxygenated)
Rest not and blue
Newborn Vitals
110-140 bpm
40-60 R/min
BP = 60-90/30-60 mmHg