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ENT Congenital Syndromes
ENT Clinical Medicine Test
15
Medical
Graduate
12/05/2010

Additional Medical Flashcards

 


 

Cards

Term

problems involving breathing, feeding, ear infections, hearing loss (conductive), speech and language delay, dental problems

 

autosomal dominant and multifactorial genetics

 

Asians, Americana Indians, males at greater risk

Definition

cleft lip/palate

 

plates fail to fuse between wk 6-11

Term

happens in 1/600 births

 

cxc by hpyotonia, increased flexibility, small head, low set ears, upward slanting eyes, small wide hands

Definition

Down Syndrome

 

trisomy 21

Term

what are epicanthal folds and brushfield's spots

 

which congenital syndrome are they often seen in

Definition

epicanthal folds:  small skinfolds on corners of eyes

 

Brushfield's spots:  light spots on irises of eyes

 

Down Syndrome

 

Term
incidence of cleft lip/palate
Definition

1/5000 births

 

lip and palate (50%)

 

palate (30%)

 

lip (20%)

Term
what is a Simian crease
Definition

single crease across palms

 

often seen in hands of Down Syndrome

Term

syndrome caused by a gene mutation during fetal development,

 

involved in production of three different types of collagen, which impedes the development of collagen

 

what is the syndrome and what is the presentation

Definition

Stickler Syndrome (1/8000)

 

sensorineural hearing loss that worsens with age

 

joint pain/arthritis

 

lax joints

 

scoliosis

 

cleft palate

 

mitral valve prolapse

 

cataracts

 

flat face

Term

syndrome with sporadic autosomal dominant inheritance

 

caused by abnormal development off the 1 and 2 branchial arches on one side of the face

Definition
Goldenhar syndrome (Oculoauicular Dysplasia or OAV)
Term
Goldenhar syndrome presentation
Definition

-facial hypoplasia

 

-hypoplasia of pinna and middle ear

 

-conductive hearing impairment

 

-preauricular pits or tags

 

-congenital heart disease (tetralogy of Fallot and VSD)

Term
at what age can you begin to correct the jaw and pinna of pt with Goldenhar syndrome
Definition

jaw- 3yrs

 

pinna- 6yrs

Term

mutation of the gene that affects type IV collagen family of proteins

 

males affected more than females (80% X-linked, 20% autosomal dominant or recessive)

Definition
Alport's
Term
findings and presentation of Alport's
Definition

-nephritis

-micro hematuria

-kidney failure by teens in X-linked and recessive

-sensorineural hearing loss that develops by late childhood

 

main problem is trying to maintain kidney function

Term

syndrome caused by alteration of chromosome 5

 

inherited by autosomal dominant pattern w/ 60% new mutations

Definition
Treacher Collins syndrome
Term

Treacher Collins syndrome is cxc by an absence of which protein?

 

what is the role of that protein?

Definition

Treacle protein

 

- role in neural crest cell migration

Term
presentation of Treacher Collins syndrome
Definition

-hypoplasia of zygoma and mandible

-mallformed ears causing conductive HL

-notching of lower eyelids

-cleft palate

Term

pt with this syndrome usually of normal intelligence

 

they can outgrow problems of syndrome with proper early nutrition, sx, and education

Definition
Treacher Collins syndrome
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