syndromes of dd Flashcards

(41 cards)

1
Q

Syndrome

A

“A complex of concurrent signs and symptoms that are characteristic of a particular condition or disorder”

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2
Q

De novo

A

A new genetic mutation (not inherited)

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3
Q

Dysmorphic

A

Malformed (e.g. facial features)

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4
Q

Microcephaly

A

Small head circumference

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5
Q

Stereotypic Behaviour

A

Repetitive movements or vocalizations

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6
Q

Hypotonia

A

Weak muscle tone

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7
Q

what is the cause of Angelemans?

A

Caused by an abnormality of chromosome 15

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8
Q

why is Angelman’s syndrome also called the Happy Puppet?

A

Excessive laughter

Puppet-like gait

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9
Q

what are the Physical characteristics of Angelmans?

A

Microcephaly
Dysmorphic facial features- wide mouth, pointy chin, prominent tongue, wide-spaced teeth, large jaw, deep set eyes
Half have fair coloured hair and skin, and blue eyes
May have strabismus (lazy eye)

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10
Q

what are some of the Functional and Behavioral Characteristics of Angelmans

A

Severe to profound ID
Speech impairment
Often have seizures (80%)
Jerky movements and hand flapping

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11
Q

what is the cause of Cri Du Shat?

A

De novo chromosome 5 defect (5p minus)

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12
Q

what are the physical characteristics of Cri Du Shat?

A

Early hypotonia (low muscle tone)
Prominent epicanthic fold (fold in the corner of your eyes)
Microcephaly
Low set ears

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13
Q

what are the Functional and behavioral characteristics of Cri Du Shat?

A

Functional and Behavioural Characteristics:
Named after the high-pitch, cat-like cry
Severe motor, language, and developmental delay
Stereotypic behaviours
Hyperactive, distractible, restless

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14
Q

what is the cause of Phenylketonuria (PKU)?

A

Autosomal recessive disorder
Essential amino acid phenylalanine is not properly metabolized
High levels of phenylalanine causes brain damage
High incidence in Yemenite Jews

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15
Q

what are the physical characteristics of PKU?

A

Eczema
Fair skin, hair, and blue eyes
Characteristic odor of the urine

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16
Q

what are the Functional and Behavioral characteristics of Phenylketonuria (PKU)

A

Must follow a diet of low phenylalanine foods
No symptoms if diet started within 3 weeks of age, mild symptoms if started between 3-6 weeks, and little benefit if started after 6 months

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17
Q

what happens if Phenylketonuria (PKU) is untreated?

A

Developmental delays
Behavioural difficulties (e.g. aggression, hyperactivity, impulsiveness)
Exaggerated reflexes
Seizures
Involuntary twisting of upper extremities, stereotypic behaviour

18
Q

what is the cause of Prader-Willi Syndrome?

A

Genetic imprinting disorder- loss of genes in chromosome 15

19
Q

what are the phyiscal characteristics of Prader-Willi Syndrome?

A
Dysmorphic facial characteristics 
Fair skin and hair, blue eyes 
Hypotonia (weak muscle tone) 
Obesity 
Undescended testicles, small penis/testes, low testosterone 
Short stature, small hands and feet
20
Q

what are some of the functional and behavioral characteristics of Prader Willi Syndrome?

A

Mild to moderate ID
Compulsive eating
Challenging behaviour: aggression, irritability, stubbornness, anxiety, self-injurious behaviour

21
Q

what is the cause of Williams Syndrome ?

A

De novo microdeletions on chromosome 7

22
Q

what are some of the physical symptoms of Williams Syndrome?

A

Elfin-like facial features
Low birth weight and growth delay
Renal and cardiovascular irregularities
Congenital heart defects including hypertension
Difficulties with feeding, digestion, constipation, and urination

23
Q

what are some of the Functional and Behavioral Characteristics of Williams syndrome?

A
Developmental delays 
Auditory sensitivity 
Higher language abilities 
Very friendly 
Exceptional musical abilities 
Emotional and behavioural difficulties such as anxiety, ADHD, lack of social
24
Q

what are some of the Genetic, X-Linked Disorders ?

A

Cornelia de Lange Syndrome
Hunter Syndrome
Klinefelter Syndrome
Lesch-Nyhan Syndrome

25
what are some of the Neuronal Migration Disorders?
Rett Syndrome Turner Syndrome Fragile X Syndrome
26
what is the cause of Klinefelter Syndrome?
De novo mutation resulting in an extra sex chromosome (XXY)
27
what are the Physical Characteristics of Klinefelter Syndrome ?
``` Abnormal male sexual development (small testes/penis, infertility, low testosterone, swelling of breast tissue) Sparse facial and body hair Woman-like storage of fat on body Long legs Hypotonia, motor skill difficulties ```
28
what are some of the Functional and Behavioral Characteristics of Klinefelter Syndrome?
Most (80%) have average intelligence Problems with expressive language, social skills, anxiety, and self-esteem Comorbid medical conditions such as hypothyroidism, breast cancer, osteoperosis, diabetes
29
what is the cause of Turner's syndrome?
AKA Chromosome XO syndrome Missing or abnormal X chromosome Only affects females
30
what are the functional and behavioral characteristics of Turner's Syndrome?
Intelligence typically in the normal to low range | Comorbid disabilities: ADHD, learning disability, medical conditions
31
what are the Physical Characteristics of Turner's Syndrome
``` Low birth weight Edema- fluid retention on hands and feet Short stature Webbed neck Small jaw Prominent ears Broad chest and wide spaced nipples Elbows that are turned in Sexual immaturity/infertility Hearing loss ```
32
Rett Syndrome cause
Do novo mutation on the x chromosome | Primarily affects girls (males do not survive)
33
what are the physical characteristics of Rhett Syndrome?
Hypotonia Microcephaly Excessive saliva and drooling Shaky, unsteady, or stiff gait; scoliosis
34
what are the functional characteristics of Rhett Syndrome?
``` Typical development for first 6-18 months, then regression in language and head growth Autistic behaviours Apraxia- impairment in motor planning Seizures Gastrointestinal complaints ```
35
what is the cause Fragile X Syndrome?
Inherited mutation in the FMR1 gene located on the X chromosome
36
what are the physical characteristics of Fragile X Syndrome?
``` Long face with prominent jaw and ears High arched palate Single crease on palm Flat feet and loose joints Hypotonia Seizures ```
37
what are the functional and behavioral characteristics of Fragile X syndrome?
Males more severely impacted than females Cognitive impairments- mild in girls Behavioural problems such as aggression, hyperactivity, sensitivity to touch and sound Autistic traits such as repetitive behaviour, poor eye contact Social anxiety and shyness
38
what is the cause of Tourette Syndrome ?
Combination of genetic and environmental factors | Probably related to nerves connecting the basal ganglia and frontal cortex
39
what are the tics associated with Tourette Syndrome?
``` nvoluntary movements Involuntary vocalizations Echolalia- repeating words or sentences Coprolalia- saying vulgar words Sounds such as throat clearing ```
40
what are some of the challenging behavior issues associated with Tourette's Syndrome?
hyperactivity, OCD symptoms, self-injury, inappropriate sexual behaviour
41
what is a common treatment for Tourettes Syndrome?
Often treated with medication- not always effective