Principles

Question 1

screening for downs syndorme antenatally?

Answer 1

USS to look at mucus behind foetus neck

Question 2

common comorbidities with T21

Answer 2

intellectual disabiity 
AVSD 
low tone 
behavioural issues 
feeding issues 
sleep apnoea
hypothyroidism 
duodenal atresia 
hirschprungs disease 
diabetes, coeliac 
atlanto-axial instability 
speech delay

Question 3

how is sleep apnoea in down syndrome manageed

Answer 3

remove tonsils and adenoids

CPAP

Question 4

what increases risk of CP generally

Answer 4

premature
small
twins
maternal hypo/hypertension

Question 5

antenatal causes CP

Answer 5

periventricular leukomalacia
congenital infection
injury in womb

Question 6

peri/postnatal causes CP

Answer 6

HIE
meningitis 
head injury 
near drowning 
shaken baby syndrome

Question 7

comorbidities and conditions with CP

Answer 7

gross and fine motor delay 
issues with communication 
sleep disturbance 
pain 
high/low tone 
low bone mineral density 
salivation 
nutrition 
swallow issues 
seizure