Professional Documents
Culture Documents
Genetics
12/2018
GENETICS AND METABOLIC DISORDERS = 3.0%
ABP BREAKDOWN
Question: toxin effects
A 5 year old presents with the following: -shortened palpebral fissures -epicanthal folds -
hypoplastic nasal root -short, upturned nose -hypoplastic philtrum -thin upper lip -midface
hypoplasia -learning problems -weight < 10%ile
What is the most likely diagnosis?
Fetal alcohol syndrome
ANSWER
Fetal Alcohol
Syndrome
To diagnose fetal alcohol syndrome, you must
find abnormalities in each of these 3 areas:
-facial
-pre- or postnatal growth deficiency
-evidence of cognitive abnormality
The facial features commonly are not defined
until 4-8 years of age
Question: toxin effects
WHAT CONGENITAL MALFORMATION DOES CARBAMAZEPINE AND
VALPROIC ACID CAUSE?
Spina bifida
ANSWER
Spina bifida
Use of carbamazepine carries a < 1% risk of spina bifida
● Velocardiofacial syndrome
●CATCH 22
Cardiac defects
Abnormal facies
Thymic hypoplasia
Cleft palate
Hypocalcemia
Question: ACRONYMS
WAGR SYNDROME CONSISTS OF WHICH 4 ABNORMALITIES?
Wilms Tumor
Aniridia
Genitourinary malformation
Mental Retardation, intellectual
disability
ANSWER
WAGR syndrome
ANSWER
Coloboma
Congenital heart defects
Choanal atresia
Growth and mental retardation
(intellectual disability)
GU anomalies (hypogonadism)
Ear anomalies
Question: ACRONYMS
A NEWBORN PRESENTS WITH THE FOLLOWING: BRANCHIAL CLEFT FISTULAS
OR CYSTS —PREAURICULAR PITS -COCHLEAR AND STAPES MALFORMATION —
HEARING LOSS -RENAL DYSPLASIA/APLASIA
WHAT IS THE MOST LIKELY DIAGNOSIS?
Branchio-Oto-Renal
(BOR) Syndrome
ANSWER
BOR syndrome presents with these findings
and is inherited as an AD disorder.
-branchial cleft fistulas or cysts
-preauricular pits
-cochlear and stapes malformation
-hearing loss
-renal dysplasia/aplasia
Question: DELETION SYNDROMES
YOU DIAGNOSE A CHILD WITH WILLIAMS SYNDROME.
WHAT IS THE MOST LIKELY CARDIAC DEFECT?
Supravalvular aortic stenosis
ANSWER
Supravalvular aortic stenosis
Know it!
Question: DELETION SYNDROMES
A 4 YEAR OLD PRESENTS WITH THE FOLLOWING: JERKY ATAXIC MOVEMENTS -
HYPOTONIA -FAIR HAIR-MIDFACE HYPOPLASIA -INAPPROPRIATE BOUTS OF
LAUGHTER-SEVERE INTELLECTUAL DISABILITY
WHAT IS THE MOST LIKELY DIAGNOSIS?
Angelman syndrome
ANSWER
Question: DELETION SYNDROMES
A 6 YEAR OLD BOY PRESENTS TO YOU AS A NEW PATIENT WITH THE
FOLLOWING: PERIORBITAL FULLNESS -PROMINENT, DOWN -TURNED LOWER
LIP-A VERY FRIENDLY PERSONALITY -STRABISMUS -INTELLECTUAL DISABILI TY
WHAT IS THE MOST LIKELY DIAGNOSIS?
Williams Syndrome
ANSWER
Williams Syndrome
-AD disorder
-Remember that Wilms
tumor is likely in these
children
Question: AUTOSOMAL DOMINANT DISORDERS
A NEWBORN PRESENTS WITH THE FOLLOWING: -DISPROPORTIONATELY SHORT
STATURE WITH RHIZOMELIC SHORTENING -TRIDENT HANDS -MACROCEPHALY -FLAT
NASAL BRIDGE -PROMINENT FOREHEAD -MIDFACIAL HYPOPLASIA
WHAT IS THE MOST LIKELY DIAGNOSIS?
Achondroplasia
ANSWER
Achondroplasia