Genetics Flashcards
Chorionic villus sampling
12 weeks
Amniocentesis
16 weeks
Genetic disorders caused by mutation in one gene
Monogenic inheritance
Genetic disorders caused by mutation in multiple genes
Multifactorial inheritance
Genetic disorders caused by combination of gene mutations and environmental factors
Epigenetics
Chances of having a child with X-linked recessive disorder if mother is carrier
25% disease
25% carriers
50% normal
Variable expressivity
Possible reduced penetrate
High risk for spontaneous mutation with no prior family history
Only way a disease can be transmitted from father to son
Autosomal dominant
Test necessary for imprinting disorders
(ie Prader-willi, angelman, beckwith-wiedeman, Russell-silver)
Methylation test
Short stature
Broad webbed neck
Bicuspid valve
Coarctation of aorta
Hypothyroidism
Gonadal dysgenesis
diffusely enlarged nodular thyroid gland
Turner syndrome
Screening for most common co-morbidities with Turner
ECHO
4 extremity BP
Renal US
TSH
Growth velocity
Most common chromosomal defect discovered in spontaneous abortions
Turner syndrome
Definitive diagnostic test for Turner syndrome
Karyotype
Pectus excavatum
Webbed neck
Low set ears
Pulmonary stenosis
Normal karyotype
Bleeding diatheses
Noonan syndrome
Major criteria for Marfan
(Must meet more than 2)
Progressive dilatation or dissection or ascending aorta
Lumbosacral Dural ecstasia
Ectopia lentis (upward slanting eyes)
Four skeletal manifestations
Family or generic history
Mutation in Marfan
Chromosome 15
Fibrillin gene
Asymmetric pectus carinatum
Marfan
Downward displaced eyes
Low IQ
Thrombosis
Homocystinuria
Autosomal recessive
Cholesterol synthesis defect (low total cholesterol)
SGA, intellectual disability
Syndactyly of 2nd and 3rd toes
Smith-Lemli-Opitz Syndrome (SLOS)
Deficiency of 7-dehydrocholestorol
Tx: cholesterol supplements
Poor prognosis - most dye in early childhood
Most common abnormality seen in Down syndrome
Hypotonia
Low set ears
Epicanthal folds
Upslanted palpebral fissures
Brushfield spots (speckled iris)
Single transverse palmar creases
Down syndrome
Complications of Down syndrome
Leukemia
Duodenal atresia
Endocardial cushion defect
Atlantoaxial instability
Diagnostic evaluation for Down syndrome
FISH
Clenched fist
Rocker bottom feet
Overlapping fingers
Hypoplastic nails
Prominent occiput,Microcephaly
Horseshoe kidneys
Trisomy 18 (Edward syndrome)
Bad Brain
Low set ears
Polydactyly
Bicornuate uterus
Cleft lip/palate
Cystic kidneys
Rocker bottom feet
Cutis aplasia (pathognomonic)
Trisomy 13
Tall
Small testes
Cryptorchidism
Gynecomastia
Klinefelter syndrome
Diagnostic test and management for Klinefelter syndrome
Chromosome analysis
Testosterone supplementation
Central hypogonadotropic hypogonadism
Anosmia
Tall/thin
Small testes/cryptorchidism
Cleft lip/palate
Mirror movements
Kallman syndrome
Mutation of the ANOS1 gene at Xp22.3
Neonatal hypotonia
FTT as infant
Voracious appetite
Obesity
Intellectual disability
OCD
small hands/feet
Almond-shaped eyes
Prader-will syndrome
Diagnostic test and management for Prader-Willi syndrome
Methylation test
15q11-13 deletion
Growth hormone
Nutritional management
Big smile
Intellectual disability
Ataxia/seizures
Laughter/excitability
Feeding issues
Angelman syndrome
Diagnostic test for Angelman syndrome
Methylation test
15q11-13 deletion
Macroglossia
Macrosomia
Hypoglycemia
Hemihypertrophy
Renal anomolies
Hypospadias
Omphalocele
Abdominal mass
Beckwith wiedeman syndrome