down's syndrome Flashcards

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1
Q

what is it caused by

A

3 copies of chromosome 21

aka trisomy 21

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2
Q

dysmorphic feautes

A
hypotonia 
brachycephaly 
short neck 
flattened face + nose
prominent epicanthic folds
upward sloping palpebral fissures
single palmar crease
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3
Q

brachycephaly

A

small head with flat back

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4
Q

epicanthic folds

A

folds of skin covering medial portion eye and eyelid

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5
Q

palpebral fissures

A

gaps between lower and upper eyelid

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6
Q

complications

A
LD 
recurrent otitis media 
deafness
visual probs - myopia, catarcts
hypothyroidism 
cardiac defects
atlantoaxial instability 
leukaemia 
dementia
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7
Q

cardiac defects

A

VSD
ASD
PDA
ToF

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8
Q

managemet

A
MDT team 
-OT
-SALT 
-physio 
-paediatricion 
-GP 
-cardiologit 
etc etc
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9
Q

routine follow up Ix

A

thyroid checks
ECHO
audiometry
eye checks

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