paeds genetics Flashcards
Micrognathia
Low-set ears
Rocker bottom feet
Overlapping of fingers
Learning disability
Edward’s syndrome - trisomy 18
Microcephalic, small eyes
Cleft lip/palate
Polydactyly
Scalp lesions
Also rocker-bottom feet
Patau syndrome - trisomy 13
Short stature
Broad forehead
Downward sloping eyes with ptosis
Hypertelorism (wide space between the eyes)
Prominent nasolabial folds
Low set ears
Webbed neck
Widely spaced nipples
Noonan syndrome
‘male turners’
autosomal dominant
defect on chromosome 12
pulmonary valve stenosis, hypertrophic cardiomyopathy, ASD
cryptochordism
factor XI deficiency (coagulation)
Tall stature
Long neck
Long limbs
Long fingers (arachnodactyly)
High arch palate
Hypermobility
Pectus carinatum or pectus excavatum
Downward sloping palpable fissures
Marfan’s syndrome
autosomal dominant connective tissue disorder
FBN1 gene on chromosome 15 that codes for protein fibrillin-1
mitral and aortic valve prolapse, aortic aneurysm
ACE inhibitors and beta blockers to reduce strain on heart
Constant insatiable hunger that leads to obesity
Poor muscle tone as an infant (hypotonia)
Mild-moderate learning disability
Hypogonadism
Dysmorphic features
Narrow forehead
Almond shaped eyes
Strabismus
prader-willi
loss of functioning genes on proximal arm of chromosome 15 (deletion from father or both from mother) imprinting (only one copy of a gene in an individual (either from their mother or their father) is expressed, while the other copy is suppressed)
absence of the active Prader-Willi gene on the long arm of chromosome 15. This may be due to:
microdeletion of paternal 15q11-13 (70% of cases)
maternal uniparental disomy of chromosome 15
growth hormone to improve muscle development and body composition
Delayed development and learning disability
Severe delay or absence of speech development
Coordination and balance problems (ataxia)
Fascination with water
Happy demeanour
Inappropriate laughter
Hand flapping
Abnormal sleep patterns
Epilepsy
Attention-deficit hyperactivity disorder
Dysmorphic features
Microcephaly
Fair skin, light hair and blue eyes
angelman
loss of function of the UBE3A gene, specifically the copy of the gene that is inherited from the mother. This can be caused by a deletion on chromosome 15, a specific mutation in this gene or where two copies of chromosome 15 are contributed by the father, with no copy from the mother.
Broad forehead
Starburst eyes (a star-like pattern on the iris)
Flattened nasal bridge
Long philtrum
Wide mouth with widely spaced teeth
Small chin
Very sociable trusting personality
Mild learning disability
elfin-like facies
characteristic like affect - very friendly and social
learning difficulties
William syndrome
deletion of genetic material on one copy of chromosome 7
Supravalvular aortic stenosis (narrowing just above the aortic valve)
Attention-deficit hyperactivity disorder
Hypertension
transient neonatal hypercalcaemia
FISH studies
Supravalvular aortic stenosis
William’s
Micrognathia
Posterior displacement of the tongue (may result in upper airway obstruction)
Cleft palate
Pierre-Robin syndrome
What defect is patau
trisomy 13
think 13 fingers
What defect is edwards
trisomy 18
think overlpping fingers making an 18 shape
inheritance noonan syndrome
autosomal dominant
chromosome noonan
chromosome 12
pulmonary valve stenosis
noonan syndrome
ehlers danlos syndrome
inheritance
pathophysiology
cardiac
hypermobile scoring
hypermobile, stretchy skin
autosomal dominant
type 3 collagen
aortic regurg,dissection, mitral prolapse
beighton score