PS Flashcards

1
Q

Cleft lip/palate

IT

A

Total

  • Asian (1:500) > White > African
  • Average 1 per 1000 live births
  • M:F = 2:1
  • Left:Right:Bilateral = 6:3:1
  • (Lip + Palate) : Lip = 2:1
  • 3% syndromic

Lip

  • M > F
  • Repair at 3m

Palate

  • F > M
  • 0.5 per 1000 live births
  • Repair at 9m
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2
Q

Cleft care plan

IT

A

Before birth
- Genetic counseling, AN screening

Birth to 6wk
- Hearing test and feeding assessment

3m
- Surgery to repair the lip

9m
- Surgery to repair the palate

1y
- Post-operation hearing test.

18m
- Speech and language assessment

3y
- Further assessment of speech and language

Young child and adolescent

  • Dental and orthodontic care
  • Plastic refinement of lip / nose / facial profile
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3
Q

VACTERL association

A
Vertebral
Anal
Cardiac
Tracheo-esophageal
Renal
Limbs
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