Teratogens, torches Flashcards
ACE inhibitors
renal damage
Alcohol
FAS (birth defects, mental retardation)
Alkylating agents (2)
Absence of digits
multiple anomalies
Aminoglycosides
CN VIII toxicity
Cocaine (3)
Abnormal fetal development
fetal addiction
placental abruption
Diethylstilbestrol (DES)
Vaginal clear cell adenocarcinoma
Folate antagonists
Neural tube defects
Iodide (lack or excess) (2)
goiter
hypothyroidism
Lithium
Ebstein’s anomaly (atrialized RV)
Maternal diabetes
Caudal regression syndrome (anal atresia to sirenomelia)
Smoking (4)
Preterm labor
Placental problems
IUGR
ADHD
Tetracyclines
Discolored teeth
Thalidomide
flipper limbs
Valproate, carbamazepine
Inhibition of intestinal folate absorption: take 10x normal dose
Warfarin (3)
Bone deformities
fetal hemorrhage
abortion
X-rays, anticonvulsants
Multiple anomalies
Toxoplasma gondii: transmission
cat feces, undercooked meat
Toxoplasma gondii: mom
Asymptomatic, rarely lymphadenopathy
Toxoplasma gondii: neonate (3)
Chorioretinitis
Hydrocephalus
Intracranial calcifications
Rubella: transmission
respiratory droplets
Rubella: mom (3)
Rash
Lymphadenopathy
Arthritis
Rubella: neonate (3)
PDA (or pulm artery hypoplasia)
Cattaracts
Deafness (w/w/o blueberry muffin rash)
CMV: transmission
sex, organ transplants
CMV: mom
Usually asymptomatic, maybe mono-like
CMV: neonate (2)
Hearing loss (unilateral) Seizures
HIV: mom
Variable, depends on CD4 count
HIV: neonate (2)
Recurrent infections
Diarrhea
HSV: transmission
skin or mucous membrane contact
HSV: mom
Usually asymptomatic, maybe herpetic vesicular lesions
HSV: neonate (2)
Encephalitis
Herpetic (vesicular) lesion
Syphilis: mom (3)
Chancre
Disseminated rash
Cardiac/neurological disease
Syphilis: neonate (4)
stillbirth common
hydrops fetalis
facial abnormalities (notched teeth, saddle nose, short maxilla)
saber shins