"Is My Child Different?"

NICU
1. when
  1. Maternal conditions
  2. Delivery complications
  3. Antepartum complications
  4. Fetal conditions
Molecular diagnostics
1. Karyotyping
  1. Chromosomal map for numerical and major structural abnormalities
2. FISH
  1. Fluorescent used to detect small structural abnormalities in chromosomes
3. PCR
  1. Amplifies the DNA sample thousands of times
Down Syndrome
1. Risk factor
  1. Having had one child with Down syndrome
  2. Advancing maternal age
  3. Being carriers of the genetic translocation
2. Clinical features
  1. Upward slant to the eyes
  2. Single deep crease in the palms
  3. Hyperflexibility
  4. Small ears
  5. Extra space between the big toe and the second toe
  6. Enlarged tongue
  7. Flat small nasal bridge
3. Causes
  1. Trisomy 21
  2. Mosaic
  3. Translocation
4. Complications
  1. Intellectual disability
  2. Heart defects
  3. Leukemia
  4. Infectious diseases
  5. Obesity
  6. Thyroid problems
Breaking bad news
1. 1. SETTING UP the Interview
2. 2. ASSESSING THE PATIENT'S PERCEPTION
3. 3. OBTAINING THE PATIENT'S INVITATION
4. 4. GIVING KNOWLEDGE AND INFORMATION TO THE PATIENT
5. 5.ADDRESSING THE PATIENT'S EMOTIONS WITH EMPATHIC RESPONSES
6. 6. STRATEGY AND SUMMARY
Antenatal genetic screening
1. CVS (Invasive)
  1. Taking a sample of the chorionic villi at week 12
2. Ultrasound
  1. screens for nuchal translucency and structural abnormalities at week 10
3. maternal serum screening
  1. Measures levelof hCG-b, AFP, and uE3 at 2nd trimester
4. Amniocentesis (Invasive)
  1. Taking a sample of the amniotic fluid at week 16
psychological phases of reaction to bad news
1. 4. Depression
2. 5. Acceptance
3. 3. Bargaining
4. 2. Anger
5. 1. Denial

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"Is My Child Different?"

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	Created by Anas Ashour over 7 years ago

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	Copied by Anas Ashour over 7 years ago