Multiple Congenital Anomaly Syndromes - 22q11.2DS Flashcards

(52 cards)

0
Q

Contiguous gene deletion syndrome

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1
Q

Molecular testing for deletion

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2
Q

de novo deletions

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3
Q

homologous recombination

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4
Q

Low Copy Repeats (LCRs)

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5
Q

FISH probes and TBX1 gene

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6
Q

Deletions that don’t include TBX1 gene

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7
Q

prevalence and screening

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8
Q

22q11.2 and CHD

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9
Q

22a11.2 and palatal anomalies

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10
Q

22q11.2 and developmental disabilities

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11
Q

prevalence of medical problems by age

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12
Q

Indications for diagnostic testing by age

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13
Q

Inter and intra familial variability

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14
Q

Mortality

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15
Q

Frequent associations

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16
Q

Immunodeficiency

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17
Q

Low T-cells and newborn screening for SCID

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18
Q

Cardiac anomalies

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19
Q

Benefits of early cardiac diagnosis

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20
Q

Palatal abnormalities

21
Q

Endocrine abnormalities

22
Q

Additional endocrine abnormalities

23
Q

GI and GU abnormalities

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Rare but important associations - ENT, GI, Skeletal
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Rare but important associations - neurologic, malignancies
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26
Rare but important associations - identifiable prenatally
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Craniofacial differences
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Hemifacial microsomia/auricular abnormalities
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Eye findings
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Pierre Robin
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Nasal differences
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Asymmetric crying facies
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Intellectual deficits and psychiatric illness
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Development in young children with 22q11.2
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Development in school aged children with 22q11.2
1. children with ID tend to be those who had a secondary insult, such as during repair of a CHD or epilepsy 2. good with reading and spelling, not so much math
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Somatic mosaicism
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Germline mosaicism
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Familial occurrence by chance
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Co-occurring conditions possible
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Unmasking an AR condition
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Nested deletions
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Nested deletions familial
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Overlapping phenotype dut to TBX1 mutation
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Phenocopies/differential diagnosis
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Summary 1
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Summary 2
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Summary 3
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Not related to advanced maternal age
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Typical features
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Early diagnosis and intervention matters
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Wide variability
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