Edwards Syndrome Flashcards

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1
Q

Another name of Edwards syndrome

A

Trisomy 18 or Trisomy E

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2
Q

What is the genetic abnormality of Edwards syndrome

A

Presence of all or part of an extra 18th chromosome

(three copies of chromosome 18, instead of two copies)

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3
Q

The most common autosomal trisomy that carries to term

A

Down’s syndrome

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4
Q

The second common autosomal trisomy that carries to term

A

Edwards syndrome

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5
Q

Which autosomal trisomy has less chance to go up to term?

A

Patau syndrome

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6
Q

Incidence of Edwards syndrome

A

1 per 3,000 live births

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7
Q

Relation between maternal age and incidence of Edwards syndrome

A

increased maternal age = increased incidence of Edwards syndrome

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8
Q

Brain features of Edwards syndrome

A

Mental retardation

Developmental delays

Growth deficiency

Microcephaly + Prominent occiput

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9
Q

Learning if Edward syndrome survives to childhood

A

Profound learning disability

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10
Q

Facial features of Edwards syndrome

A

Narrow eyelid folds (palpebral fissures)

Widely spaced eyes (Ocular hypertelorism)

Ptosis

Low-set malformed ears

Upturned nose

Cleft lip/Cleft palate

Abnormally small jaw

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11
Q

Respiratory disorder in Edwards syndrome

A

Breathing difficulties (dyspnoea)

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12
Q

Trunk features in Edwards syndrome

A

Short sternum

Congenital heart disease

Diaphragmatic hernias

Intestinal features (another card)

Renal abnormalities

Undescended testicles

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13
Q

Intestinal features in Edwards syndrome

A

Intestines protruding outside the body (Omphalocele)

Oesophageal atresia

Feeding difficulties

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14
Q

Limb features in Edwards syndrome

A

Absent radius

Underdeveloped thumb or nails

Clenched hands (finger overlap)

Arthrogryposis

Dislocated hips (common)

Short and dorsiflexed great toe

Webbing of the second and thrid toes

Clubfoot

Rocker botton feet (Vertical talus)

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15
Q

Which fingers do overlap on which in Edwards?

A

2nd and 5th overlap 3rd and 4th

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16
Q

What is Arthrogryposis

A

A muscle disorder causing mutiple joint contraction at birth

17
Q

Prognosis of Edward syndrome

A

Very low rate of survival

Survival beyond infancy is rare

18
Q

Cause of death (fatal features) in Edwards syndrome

A

Structural heart defects

Kidney malformations

& other internal organ disorders

19
Q

What are the non-dysjunction conditons

A

Patau syndrome

Edwards syndrome

Down syndrome

20
Q

What are the trisomies of Patau syndrome, Edward syndrome, Down syndrome?

A

Patau syndrome = trisomy 13 = trisomy D

Edward syndrome = trisomy 18 = trisomy E

Down syndrome = trisomy 21 = trisomy G