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Pediatric genetic disorders Pediatrics PA-580 Fall 2007
http://www.nchpeg.org/index.asp
17 things healthcare professionals should know about genetics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
17 things healthcare professionals should know about genetics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
8 skills healthcare professionals should master ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
http://www.aafp.org/online/en/home/clinical/acf.html
What are the expectations of a PCP? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.aafp.org/online/en/home/clinical/acf/genomics/clinobj.html
Objectives  ,[object Object],[object Object],[object Object],[object Object],[object Object]
http://content.nejm.org/cgi/reprint/351/22/2333.pdf
 
Pedigree  ,[object Object],[object Object]
http://www.ama-assn.org/ama1/pub/upload/mm/464/family_insert02.pdf
Pedigree symbols to know
 
Patient can create their own pedigree http://www.hhs.gov/familyhistory/
Take home forms 1 http://www.aafp.org/PreBuilt/acf_fammedhistory.pdf
Take home forms 2 http://www.aafp.org/PreBuilt/acf_diseasechecklist.pdf
Pedigree vs. Genogram  ,[object Object],[object Object],[object Object]
Genogram
SCREEN http://www.aafp.org/PreBuilt/acf_genomics_screen.pdf
Common pediatric genetic disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common pediatric  genetic disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chromosomal abnormalities  2 ° to number ,[object Object],[object Object],[object Object],[object Object],http://search.marchofdimes.com/cgi-bin/MsmGo.exe?grab_id=657&page_id=8914176&query=trisomy&hiword=TRISOMIES+trisomy+
Chromosomal abnormalities  2 ° to number ,[object Object],[object Object],[object Object],[object Object],[object Object],http://search.marchofdimes.com/cgi-bin/MsmGo.exe?grab_id=657&page_id=8914176&query=trisomy&hiword=TRISOMIES+trisomy+
Trisomy ,[object Object],[object Object],[object Object],http://www.ds-health.com/trisomy.htm
 
 
Trisomy 13 & 18 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trisomy 21 (Down syndrome ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trisomy 21 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trisomy 21 facial features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trisomy 21 risk ,[object Object],[object Object],[object Object],[object Object]
Risk evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.webmd.com/hw/health_guide_atoz/aa78760.asp
Chorionic villus sampling
Chromosomal abnormalities  2 ° to number ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sex chromosome abnormalities  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Turner syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Turner syndrome Stratakis: Endocrinologist, Volume 15(1).January/February 2005.27-36
Turner syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Klinefelter syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Klinefelter syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://yalenewhavenhealth.org/library/healthguide/en-us/support/topic.asp?hwid=zm2596
Klinefelter syndrome ,[object Object],[object Object],[object Object]
Common pediatric  genetic disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mendelian disorders ,[object Object],[object Object],[object Object],[object Object]
Mendelian disorders ,[object Object],[object Object],[object Object],http://ghr.nlm.nih.gov/ghr/picture/autoDominant
Autosomal dominant conditions ,[object Object],[object Object],[object Object],[object Object]
Autosomal dominant conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neurofibromatosis
Marfan syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.marchofdimes.com/professionals/14332_1216.asp
Marfan syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.hughston.com/hha/a_12_2_4.htm
Marfan syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],www.mayoclinic.org/marfan/features.html
Mendelian disorders ,[object Object],[object Object],[object Object],[object Object],http://ghr.nlm.nih.gov/ghr/picture/autoRecessive
Autosomal recessive conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.marchofdimes.com/pnhec/4439_4136.asp
Autosomal recessive conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.marchofdimes.com/pnhec/4439_4136.asp
X-linked inheritance  ,[object Object],[object Object],[object Object],[object Object]
X-linked inheritance  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Duchene Muscular Dystrophy  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Duchene Muscular Dystrophy  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.ninds.nih.gov/disorders/md/md.htm
So where does a PA go? http://www.nchpeg.org/
www.geneticalliance.org
 
References  ,[object Object],[object Object]

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Genetic Disorders Fac 2007