PBL 4 (It’s All in The Genes)

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Bachillerato Medicine Mind Map on PBL 4 (It’s All in The Genes), created by m b on 10/21/2016.
m b
Mind Map by m b, updated more than 1 year ago
m b
Created by m b about 9 years ago
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Resource summary

PBL 4 (It’s All in The Genes)
  1. Galactosemia
    1. is a family of genetic disorders that result from compromised ability to metabolize the sugar galactose
      1. is an inherited disorder
        1. is due to GALT enzyme deficiency
          1. Symptoms
            1. 1. Irritability
              1. 2. Lethargy
                1. 3. Hypotonia
                  1. 4. Vomiting
                    1. 5. jaundice
                    2. Tests
                      1. Ketones in the urine
                        1. Enzyme activity in the red blood cells
                        2. management
                          1. Refer patients to a dietitian
                            1. discontinue ingestion of lactose-containing formula
                            2. types
                              1. 1. Classic + clinic variant galactosemia (Type 1 galactosemia)
                                1. 2. Galactokinase deficiency (Type 2 galactosemia)
                                  1. 3. Epimerase deficiency (Type 3 galactosemia)
                                2. simple sugars
                                  1. examinations
                                    1. FeCl3 in urine
                                      1. if positive indicate that the person is having one of phenylketones disorders
                                      2. Blood Gas test
                                        1. It measures the acidity (pH) and levels of oxygen and carbon dioxide in the blood from the artery.
                                        2. Blood Sugar test
                                          1. detect hyperglycaemia or hypoglycaemia
                                          2. Thyroid function test
                                            1. The T4 test and the TSH test are the two most common thyroid function tests
                                              1. it shows poor growth, less feeding and hypotonia
                                              2. head CT scanning
                                                1. used to create detailed pictures of the skull, brain, paranasal sinuses, ventricles, and eye sockets.
                                                2. Kidney Function Test
                                                  1. estimate GFR which tells the doctor how quickly your kidneys are clearing waste from your body.
                                                  2. Liver Function test
                                                    1. ordered as a routine lab test
                                                  3. pedigree
                                                    1. early detection of inborn metabolic disorders
                                                      1. blood spot test taken from baby’s heel used to screen ALL newborns for level of the GALT enzyme within 24 hours of life
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