Genetics Flashcards
Which maternal conditions increase risk of neural tube defects?
Diabetes
Alcohol
Rubella
Valproate
Effects of maternal diabetes
Macrosomy Polycythaemia Cleft lip/palate Microphthalmia Omphalocele Intestinal obstruction RDS Cardiac defects Hypoglycaemia Hypocalcaemia Tetany Seizures Jaundice Renal agenesis Delayed development
Presents age 3-12 years with tiredness, infections, bruising/bleeding, short stature, aplasia of radius, thumb deformities, skin colouration, small head/eyes, learning difficulty, low birth weight, cardiac/gastro/CNS/skeletal abnormalities
Fanconi’s anaemia
Tests to investigate for Fanconi’s anaemia
Ultrasound kidneys (25% have renal malformation) Forearm X-ray Chromosome breakage test confirms the diagnosis
'Telephone handle femora' Cupping of metaphyses Large cranium arrow thorax Flattened vertebral bodies
Thanatophoric dwarfism
Acrocephaly
Facial underdevelopment
Syndactyly
Learning disability
Apert syndrome
Acrocephaly Brachtycephaly Syndactyly Brachydactyly Learning disability
Carpenter syndrome
Acrocephaly Scaphocephaly Brachycephaly Hypertelorism Exomphthalmos Increased intracranial pressure Learning disability
Crouzon syndrome
Associated with cutis aplasia
Trisomy 13
Cause of Fragile X
Unstable trinucleotide repeats in Xq27
Initial investigations in a new diagnosis of Turners
Assessment of growth Urinalysis 4 limb BP Echo Hearing + vision testing US for renal abnormalities