Teratogens Flashcards
ACEi
renal damage
Alkylating agent
absent digit,
multiple anomalies
Aminoglycosides
CN VIII toxicity
“A MEAN GUY hits the baby in the ear”
Carbamazapine
Neutral tube defects, (vs. phenytoin) Craniofacial defects Fingernail hypoplasia Developmental delay, Intrauterine growth retardation (IUGR)
DES
Vaginal cells adenocarcinoma
Congenital mullerian anomalies
Folate antagonist
Neutral tube defect
Lithium
Ebstein’s anomaly (atrialized right ventricle)
Phenytoin
Fetal hydantoin syndrome:
microcephaly, disdysmorphic craniofacial features,
hypoplastic nails, distal phalanges, CV defect, IUGR, mental retardation.
“small head, weird face, small finger, heart, retard”
Tetracycline
Discolored teeth
Thalidomide
limb defect
Valproate
Inhibition of maternal folate absorption:
neural tube defect
Warfarin
Bone deformities, fetal hemorrhage,
abortion, ophthalmologic abnormalities
Alcohol
Fetal alcohol syndrome:
congenital malformation, mental retardation,
pre and post natal developmental retardation,
microcephaly, holoprosencephaly
facial abn, limb dislocation,
heart and lung fistulas.
Cocaine
Fetal addition
Placental abruption
Smoking (nicotine, CO)
Preterm labor,
placental problems,
IUGR,
ADHD