Genetics Flashcards
Holoprosencephalopathy, agensis of corpus callosum, polycystic kidneys, cardiac defects, limb abnormalities and aplasia cutis congenita
Trisomy 13
IUGR, low birth weight, clenched fists, rocker bottom feet, abnormal head shape
Trisomy 18
Long narrow face, prominent jaw, protuberant ears, ADHD/autism, macro-orchidism, recurrent AOM
Fragile X Syndrome
wide-set eyes, upturned nose, large maxilla, prominent philtrum, pointed chin
Williams Syndrome
wide spaced eyes, low set ears, shied like chest, pectus deformity and increased carrying angle of arms
Noonan Syndrome
What should you suspect in a patient with NF1 and precocious puberty?
Optic pathway glioma
Short stature, frontal bossing, triangular faces, shortend and incurved 5th fingers (clinodactyly), asymmetry and cafe au lait spots
Russel-Silver syndrome
Cholestasis, cardiac anomalies, butterfly vertebrae, broad nasal bridge, triangular facies and deep set eyes
Alagille syndrome
Unilateral or bilateral upper extremity defects with septal defects
Holt-Oram syndrome (heart-hand)
Fused cervical vertebrae - short neck, low hairline. Hearing difficulties, eye abnormalities, cleft palate, cardiac or GU anomalies
Klippel-Feil syndrome
Arched eyebrows, long eyelashes, long opening of eyelids, flat broadened tip of nose, long protruding earlobes. Prominent fetal finger pads
Kabuki syndrome
Microcephaly, intellectual disability and multiple internal organ malformations. Syndactyly of second and third toes, hypotonia and feeding difficulties
Smith-Lemli-Opitz
Wilms tumor, aniridia, GU anomalies, intellecutal delay
WAGR
Hypopigmented lesions (ash-leaf macules), seziures, developmental delay, adenoma sebaceum, periungal fibromas, and shagreen patches
Tuberous sclerosis
Tall stature, pectus excavatum, lens dislocation WITH developmental delay
Untreated homocysteinuria
Cleft lip/palate, external ear abnormalities leading to conductive hearing loss, malar hypoplasia, colobomata, lack of eyelashes
Treacher-Collins
Loss of gene activity on maternally acquired chromosome 15
angelMan syndrome
Loss of genea ctivity on paternally acquired chromsome 15
Prader wili
Likely in utero environment of an infant with poor tone, poor suck and weakness
Polhydraminos - unable to swallow the amniotic fluid in utero
Generalized hirsuitism, long curly eyelashes, depressed nasal bridge, thin philtrum with downward turned upper lip, micrognathia, limb contractures, digit anomalies, hypoplastic genitlas
Cornelia-de-lange
Cardiac rhabdomyomas are most likely to be symptomatic in first 6 years of life when they could obstruct blood flow before they spontaneously regress (typically by 6 years old). They are associated with what syndrome?
Tuberous sclerosis
Irritability, fever, anorexia, soft tissue swelling associated with subperiosteal cortical thickening of underlying bone. Leukocytosis, ESR and elevated alk phos present. Present prior to 6 months of age
Caffey disease
Micrognathia, glossoptosis, upper airway obstruction
Pierre-Robin Sequence
Things associated with Pierre-Robin sequence
Strickler syndrome, 22q11
Severe respiratory distress from pulmonary hypoplasia, narrow dysplastic thorax and extremity short ribs. May have natal teeth
Ellis-van Creveld syndrome
Small, hypoplastic mandible, micropthalmia, cataracts and neonatal teeth
Hallerman-Streiff syndrome
Posterior fossa malformations, hemangiomas, arterial anomalies, cardiac anomalies, eye abnormalities and sternal clefting/supraumbilical abdominal raphe
PHACES
Telangictasisas, photosensitivity, severe chelitis, growth deficiency, increased susceptibility to neoplasms, long face, long limbs
Bloom syndrome
Recurrent infections of mucous membranes, respiratory tract, and skin, oculocutaneous albinism, ataxia. Large granules in neutrophils.
Cheidiak-Higashi
Elevated leucine, isoleucine and valine in plasma and urine
Maple Syrup Urine disease