Dysmorphology Flashcards

1
Q

Dysmorphology

A

deals with PEOPLE who have congenital abnormalities and with their families

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2
Q

Classification of observable differences

A
  • major anomalies
  • minor anomalies
  • normal variations
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3
Q

Major malformations

A
  • abnormality resulting from an inborn error of tissue formation
  • an anatomic feature that is of serious medical and/or cosmetic consequence
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4
Q

Minor anomaly

A
  • minor variations of morphological features with no known medical, surgical, or cosmetic significance
  • may be observed in
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5
Q

Anomalies

A
  • Deformation (s)
  • Disruption
  • Malformations
  • Sequence
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6
Q

Deformations

A
  • An abnormal mechanical force which distorts an otherwise normal structure
  • Secondary to Malformation
  • Ex: Plagiocephaly and club feet
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7
Q

Disruption

A
  • Abnormal structure of an organ or tissue as a result of external factors disturbing the normal developmental process: includes ischemia, infection, or trauma
  • Amniotic band syndrome
  • tissue damage
  • breakdown of normal structures
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8
Q

Dysplasia

A
  • Abnormal organization of cells into tissue in all parts of the body in which that particular tissue is present
  • Often present at birth
  • osteochondrodysplasia
  • Ectodermal
  • Skeletal dysplasia
  • Hamartosis
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9
Q

Syndromes

A
  • Consistent patterns of abnormalities for which there will often be a known underlying cause
  • Down syndrome
  • Treacher Collins syndrome
  • Amniotic band syndrome
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10
Q

Sequence

A
  • Consequence of a cascade of events initiated by a single primary factor
  • Potter sequence
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11
Q

Association

A
  • Malformations tend to occur together but cannot be explained on the basis of a sequence or a syndrome
  • VATER association
  • VATERR
  • VATERS
  • VACTERL (all 4 of these are the same thing)
  • CHARGE
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12
Q

CHARGE

A
  • C:Coloboma
  • H:Heart
  • C:Choanal atresia
  • R: Growth Retardation
  • G: Genital abnormalities
  • E: Ear abnormalities
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13
Q

Developmental delay

A
  • minimal physical findings
  • normal physical exam
  • 5 to 25% of children have genetic causes
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14
Q

Pedigree analysis

A
  • ethnicity
  • cancer
  • genetic conditions
  • exposures
  • pregnancy loss
  • birth defects
  • intellectual disability
  • age
  • medical conditions
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15
Q

Allelic heterogeneity

A
  • Different mutations in the same gene may result in the same phenotype
  • Different mutations in the same gene results in different phenotype also known as phenotypic heterogeneity
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16
Q

Would genetic testing HELP my patient?

A
  • reduces morbidity and mortality through close surveillance of high-risk individuals
  • eliminates need for extra surveillance in individuals with no increased risk
  • confirms clinical diagnosis
  • estimates recurrence risks
17
Q

Malformation

A

Development is intrinsically abnormal

-ex// polydactyly/syndactyly