Endocrine - Sex Chromosome + Inborn Errors of Metab Flashcards

1
Q

DIsorders r/t Sex Chromosomal Abnormalities

A

1 Turner Syndrome

2 Klinefelter Syndrome

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2
Q

Turner Syndrome

A

girls have missing or partial absence of one X chromosome

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3
Q

Turner Syndrome

manifestation

A

varies widely, may not be diagnosed until lack of onset of menstruation**

  • short stature
  • infertility
  • no secondary sex characteristics
  • neck webbed + shorts
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4
Q

Turner Syndrome may present w….

A

coarctation of the aorta

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5
Q

Turner Syndrome

diagnosis

A

karyotype is definitive

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6
Q

Klinefelter Syndrome

A

males born w extra X chromosome

assoc w androgen deficiency, infertility, + tall stature

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7
Q

Klinefelter Syndrome is often detected w…

A

delayed puberty

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8
Q

Inborn Errors of Metabolism [3]

A

1 Phenylketonuria
2 Galactosemia
3 Maple Syrup Urine Disease

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9
Q

Inborn Errors of Metabolism is inherited biochemical abnormalities of….

A
  • urea cycle
  • amino acid
  • organic acid metabolism
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10
Q

Inborn Errors of Metabolism is often detected by…..

A

newborn screenings before onset of symptoms

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11
Q

Phenylketonuria

A

autosomal recessive inherited disorder of amino acid metabolism
»affects the body’s ise of protein
»lack of phenylalanine hydroxylase enzyme

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12
Q

Phenylketonuria screening

A

require by law

>done shortly after first feeding

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13
Q

Phenylketonuria

manifestations

A
  • *musty odor to urine**
  • growth failure
  • freq vomiting
  • blue eyes, fair skin, light blonde hair
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14
Q

Phenylketonuria

prognosis

A

excelling w low phenylalanine diet

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15
Q

Galactosemia

A

deficient in galactose liver enzyme

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16
Q

if Galactosemia diagnosis is not made at birth…

A

causes irreversible cirrhosis + intellectual disability

|&raquo_space;death w/in 1 month w/o treatment

17
Q

Galactosemia

treatment

A

lactose/galactose free diet for life

18
Q

Maple Syrup Disease

A

leucine, isoleucine, + valine cannot be metabolized

19
Q

Maple Syrup Disease

manifestation

A

w/in 5-7 days,
presents w poor sucking, irreg resp, rigidity, +
ketosis + urine that smells like maple syrup

20
Q

Maple Syrup Disease

prognosis

A

can be fatal but normal outcome is possible w early tx