Dysmorphism Flashcards
What is the most common preventable cause of intellectual disability
FASD
How do you dx FASD
maternal drinking
What are all the dysmorphisms seen in FASD (8)
low nasal bridge, minor ear abnormalities, indistinct phlitrum, micrognathia, epicanthial folds, short palpebral fissures, thin upper lip, fat mid face and short nose
What are the discriminating features of FASD? (5)
short palpebral fissures, flat mid face, short nose, indistinct philtrum, thin upper lip
What are the associated features of FASD?
Epicanthial folds, low nasal bridge, minor ear abnormalities, micrognathia
What are the S&S of untreated congenital hypothyroidism
jaundice, poor feeding, hypotonia, macroglossia (large tongue), large fontanelles, delayed closure, course facial features, MR, short stature
What do amniotic bands do?
The bands rupture and flick off and can amputate a digit or constrict it
What is cretinism
severe hypothyroidism in the newborn
What causes cretinism?
lack of thyroxine form birth, or before birth. Could be from lack of thyroid gland or lack of iodine in mother
What is one of the key signs of cretinism
macroglassia
What are some keys of turners syndrome
lymphatic swelling (hands/feet), wide set nipples, webbed neck and extra skin, low posterior hairline, discoloured spots on skin
What is seen in utero with turners syndrome
cystic hygroma
What is similar to turners in males?
noonans syndrome
What is the incidence of fragile X syndrome
1:4000 in males
What are the clinical manifestations in fragile x syndrome?
cognitive difficulties, attention and behavioural problems, macroorchidism, mild facial dysmorphologies, CT abnormalities (hyper extensible), anticipation (repeat disorders)
Kinefelters has what kind of testes?
Microorchidism?
What are the clinical manifestations of Marfans syndrome?
Tall, skinny, long arms, long legs, long fingers, long toes, chest cavity
Are there sx of klinefelters pre pubertal?
no