Down Syndrome Flashcards

1
Q

Percent of DS w/ trisomy 21

A

A prox 95%

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2
Q

Mean maternal age for DS

A

32

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3
Q

Risk of recurrence up to age 40 w/ trisomy 21

A

1%

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4
Q

Prenatal DS dx

A

Screening tests

Diagnosistics: chorionic villus, amniocentesis

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5
Q

DS dx at birth

A

Presence of typical characteristics

Chromosomal analysis of blood

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6
Q

DS craniofacial phenotypic characteristics

A
Inner epicanthic folds
Upward slanting of palpebral fissures
Flat facial profile
Late frontal closure
Anomalous ears
Low nasal bridge
Shortened palate
Maxillary and dental hypoplasia
Irregular tooth placement
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7
Q

Musculoskeletal/ CT phenotypic characteristics

A

Diastisis recti
Hypoplasia of middle phalanx
Joint hypermobility
Hypoplasia pelvis w shallow acetabulum angles
AA instability (risk of cord compression)
Wide gap b/n toes 1 and 2
Single palmar crease

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8
Q

Eye/vision in DS

A
Iris speckling
Myopia
Nystagmus
Strabismus
Tear duct blockage
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9
Q

Ears/hearing in DS

A

Conductive hearing loss (80%)

Sensorineural or mixed hearing loss

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10
Q

CV in DS

A
VSD
PDA
Tetralogy of fallout
-pulm valve stenosis
-VSD
-malposotion of aorta
-R vent hypertrophy
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11
Q

GI in DS

A

Duodenal stenosis
Imperforate anus
Hirschsprung’s disease

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12
Q

Immunologic DS

A

Leukemia
Chronic rhinitis and conjunctivitis
Fluid in middle ear (vestibular system)

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13
Q

Neuro in DS

A
Mild microcephalic
Hypotonia
Intellectual disability 
Developmental delay 
Early onset Alzheimer’s
Small cerebellum and brain stem
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14
Q

BS and Alzheimer’s

A

25% have Alz by age 35

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15
Q

DS gait patterns

A
Small step length
Increased knee flexion at contact
Hyperextension in stance
Decreased single limb support
Increased hip flexion posture
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16
Q

DS interventions

A

Promote Weight bearing
Facilitate antigravity muscles
Emphasis trunk ext
Encourage midline orientation and righting repsonses
Developmental milestones that are appropriate for them
Cognition, language, socialization

17
Q

DS precautions during tx

A

Lig laxity makes joint less resistant to trauma
Important to incorporate joint protection strategies
Avoid exaggerated neck flexion or ext
Radiograph may not accurately detect AA instability in infants or children under age 2

18
Q

DS life expectancy

A

Currently: 60+ years

(1983 - 25 years)

19
Q

Organizing head and trunk control

A

Proprioceptive repsonse
Visual input
Muscular function (strength, ROM, kinematic links)