"Is My Child Different?"

Description

Medicine Mind Map on "I think I'm pregnant", created by Anas Ashour on 01/10/2016.
Anas Ashour
Mind Map by Anas Ashour, updated more than 1 year ago More Less
Anas Ashour
Created by Anas Ashour almost 8 years ago
Anas Ashour
Copied by Anas Ashour almost 8 years ago
Anas Ashour
Copied by Anas Ashour almost 8 years ago
18
2

Resource summary

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