Congenital Syndromes Flashcards

Down's syndrome William's syndrome Fragile X syndrome Duchenne's muscular dystrophy

1
Q

What is muscular dystrophy?

A

When the muscles gradually break down and get progressively weaker over time.

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2
Q

What is the most common form of muscular dystrophy?

A

Duchennes muscular dystrophy.

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3
Q

What causes duchesses muscular dystrophy?

A

Mutations that cause no expression of dystrophy ( a protein involved in muscle contraction).

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4
Q

What type of inheritance is duchenn’s muscular dystrophy?

A

X linked recessive inheritance.

Majority of affected people are males, females are carriers.

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5
Q

How does duchenns muscular dystrophy present?

A

Muscle wasting and weakness in early childhood
most are wheelchair bound before puberty
most die in their early twenties from respiratory failure

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6
Q

what are the signs of duchenns muscular dystrophy?

A

muscles appear bulky (replaced by fat)
child slips through fingers when being picked up (loose shoulder muscles)
Gowers manœuvre positive.

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7
Q

What is towers manoeuvre?

A

When child walks their hands up their thighs to stand - a sign of proximal muscle wasting.

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8
Q

how is duchenns muscular dystrophy diagnosed?

A

A muscle biopsy

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9
Q

What are the complications of duchenns muscular dystrophy?

A

Respiratory failure

dilated cardiomyopathy

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10
Q

What causes downs syndrome?

A

having 3 copies of chromosome 21.

Trisomy 21.

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11
Q

What are the dysmorphic features associated with downs syndrome?

A
Hypotonia
Small head
flat back 
short neck
short stature
flattened face and nose 
prominent epicanthic folds
single palmar crease
upward sloping palpable issues
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12
Q

What are the complications of downs syndrome?

A
learning disabilities 
deafness
otitis media
hypothyroidism
cardiac defects
ASD
VSD
patent ductus arterioles 
atlantoaxial instability
leukaemia
dementia
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13
Q

What is fragile X syndrome?

A

A genetic disease caused by a repeat in FMR1 gene

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14
Q

What is fragile X syndrome the most common cause of?

A

Most common inherited cause of autism.

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15
Q

What is fragile X syndrome the most common cause of?

A

Most common inherited cause of autism.

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16
Q

What is the signs of fragile X syndrome?

A
Long face
extra large testicles
large jaw and ears
social anxiety
autistic spectrum features (speech delay, poor eye contact, social anxiety, copying speech).
17
Q

What are fragile X syndrome people at risk of?

A

mitral valve prolapse

epilepsy

18
Q

What is Williams syndrome?

A

When part of chromosome 7 is deleted

This causes the elastin gene to be missing

19
Q

What causes Williams syndrome?

A

mostly idiopathic

Can be autosomal dominant (so people with Williams syndrome will have a 50% chance of passing it on to their children).

20
Q

What are the symptoms of Williams syndrome?

A
connective tissue abnormalities:
broad forehead
periorbital puffiness
short upturned nose 
long medial cleft 
full lips 
flat nasal bridge 
wide mouth
21
Q

What are the psychological traits of Williams syndrome?

A
cocktail party personality
cognitive impairment 
weak visual abilities
anxiety
phobias
OCD
developmental delay
22
Q

What are the cardiothoracic complications of Williams syndrome?

A

aortic and pulmonary stenosis.

23
Q

What is the main symptom of Williams syndrome?

A

increased sensitivity to vitamin D - causing more calcium absorbed and hypercalcaemia - irritability, loss of appetite, vomiting, kidney stones.

24
Q

What is th management of Williams syndrome?

A

treat congenital heart defects
treat hypertension
vitamin D and calcium restricted diet.