L8: Prevention of Genetic Diseases Flashcards
The Ways of Prevention of Genetic Disorders inculde โฆโฆ
Def of Genetic Counseling
- It is a communication process which deals with estimating the risk of developing or transmitting a genetic Disorders
Goals of Genetic Counseling
Indications of Genetic Counseling
Steps of Genetic Counseling
What is the most important step in any genetic Consultation?
Diagnosis
Reaching a diagnosis in clinical genetics usually involves the 3 basic steps of any medical consultation which are โฆ..
Genetic Counseling
- Risk Assessment
Genetic Counseling
- Understanding the Options
Genetic Counseling
- Choosing The Course of Action
Genetic Counseling
- Long-Term Contact & Support
Technique of Genetic Counseling
Role of Geneticist
Indications of Carrier (Heterozygote) Detection
- Certain Diseases
- Target Families
Indications of Carrier (Heterozygote) Detection
- Certain Diseases
- Cystic fibrosis
- thalassemia
- sickle cell anemia
- FVLeiden
- FXS
- Tay-Sachs
- canavan
Indications of Carrier (Heterozygote) Detection
- Target Families
Benefits of Carrier detection of close relatives of patients with XR or AR disorders
Clinical Importance of Carrier Screening in Individuals of certain groups (AR Disorders)
- Where certain AR disorders are common, there is usually no known prior history of the disease in either side of the family
Examples of Carrier Screening in Individuals of certain groups (AR Disorders)
- Sickle cell anemia in blacks
- Thalassemia in Mediterranean areas
Therapeutic Importance for Carrier (Heterozygotes) Screening
- Knowledge of their carrier status may help persons to take appropriate therapeutic or preventive health precautions
Examples of Therapeutic Importance for Carrier (Heterozygotes) Screening
Methods Used for Carrier Detection
Introduction to prenatal Diagnosis
Techniques of Prenatal Dx
Timing of Amniocentesis
Around the 16th week of gestation
Technique of Amniocentesis
Uses of Amniocentesis
- Cells for karyotyping & DNA
- Supernatant fluid for metabolites assay
Indications of Amniocentesis
Risk of Miscarriage in Amniocentesis
0.5 - 1 %
Timing of Chorionic Villous Sampling
Best perormed at 10th -11th Weeks gestation
Technique of Chorionic Villous Sampling
Trans-cervical or trans-abdomina aspiration of Chorionic villi
US Guided
Indications of Chorionic Villous Sampling
Complications of Chorionic Villous Sampling
if done before 9th week of gestation
- Transverse limb abnormalities in the embryo may Occur
Risk of Misccariage in Chorionic Villous Sampling
1 - 2 %
Timing of Fetal Blood Sampling PUBS
from 17th weeks gestation to near term
Technique of Fetal Blood Sampling PUBS
Indications of Fetal Blood Sampling PUBS
Risk of Miscarriage of Fetal Blood Sampling PUBS
2%
Timing of Fetoscopy
During the 2nd trimester
Technique of Fetoscopy
Uses of Fetoscopy
Indications of Fetoscopy
Risk of Miscarriage in Fetoscopy
3-5 %
Techniques of Prenatal Dx, Timing & Risk of Miscarriage
Timing of US in Prenatal Dx
The best time for US screening is between 16 - 18 weeks gestation
Uses of US in Prenatal Dx
Uses of Detailed US in Prenatal Dx
Indications of Detailed US in Prenatal Dx
The detection by ultrasound of a placental or fetal anomaly may prompt additional studies, including karyotyping, For example โฆ..
Timing of Maternal Serum Screening
Sampling obtained at the 16th week
Uses of Maternal Serum Screening
It is offered for neural tube defect (60% detection) & Down syndrome (60-75% detection)
Indications of Maternal Serum Screening
Causes of elevated maternal alpha fetoprotein
- Anencephaly
- Multiple pregnancy
- Open spina bifida
- Abdominal wall defect
- Congenital nephrotic syndrome
Maternal Serum Screening for Detection of Down Syndrome
What are New Prenatal Diagnostic Techniques?
- Pre-implanhfion Cenefic Diagnosis (PCD)
- Detection of fetal cells in Maternal Circulation
- 1st Trimester Screening for Aneuploidy
Pre-Implantation Genetic Diagnosis
Detection of Fetal cells in Maternal Circulation
1st Trimester Screening for aneuploidy
Termination of Pregnancy
Def of Neonatal Screening
- Screening is a process of identifying apparently healthy people who may be at increased risk of a disease or condition
Significance of Neonatal Screening
- They can then be offered information, further tests and appropriate treatmell to reduce their risk &/or any complications arising from the disease or condition
- A screening test doesnโt diagnose a particular condition, but merely sort the population into test + ve and test - ve groups
Types of Neonatal Screening
Specimens for Neonatal Screening
Specimens for Neonatal Screening
- Dried Blood
Specimens for Neonatal Screening
- Dried Urine
Newborn Screening for
- Congenital Hypothyroidism
Newborn Screening for
- SCD
Newborn Screening for
- Congenital Toxoplasmosis
Confirmatory Test in Neonatal Screening
WHO Criteria for poulation Screening
Newborn Baby Screening in Egypt
- test
Blood Sample
Newborn Baby Screening in Egypt
- Time
3-7 Days After Birth
Newborn Baby Screening in Egypt
- Method
Mothers of all newborn babies are offered testing for certain conditions by testing a blood spot taken from the babyโs heel
Newborn Baby Screening in Egypt
- Diseases
- PKU
- Congenital Hypothyroidism
Def of PKU
Itโs an amino acidopathy
Cause of PKU
- It is caused by deficiency of phenylalanine hydroxylase, which converts phenylalanine to tyrosine
- This will lead to accumulation of phenylalanine
Manifestations of PKU
If untreated:
- Microcephaly
- Seizures
- Learning difficulties
TTT of PKU
- A low protein diet, so restricting intake of phenylalanine in conjunction with a phenylalanine-free amino acid supplement
Screening for Hypothyroidism
- By TSH
Screening for Hypothyroidism
- By T4