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INTRODUCTION
Genetics
________________
__
The study of genes and how certain
characteristics are passed from one
generation to the next
is a disease that is caused by an change or
mutation in an individual's DNA.
Genetic Disorder or Genetic Disease
_______________________________________
__
Genetic Abnormalities
____________________________
is caused by an abnormality in
an individual's DNA.
MUTATION
_________________
_
The changing of the structure of a gene,
resulting in a variant form that may be
transmitted to subsequent generations
caused by the alteration of single base
units in DNA, or the deletion, insertion,
or rearrangement of larger sections of
genes of chromosomes.
Genetic disorders can be grouped into
three main categories:
Single gene disorders: disorders caused
by defects in one particular gene.
Example : sickle cell anemia, cystic fibrosis,
and Huntington's disease.
Chromosome disorders: In these
disorders, entire chromosomes, or large
segments of them, are missing,
duplicated, or otherwise altered.
Example: Down’s syndrome
Multifactorial Disorder: These disorders
involve variations in multiple genes, often
coupled with environmental causes.
Example: cancer
NEWBORN SCREEN TEST
Newborn screening (NBS) is a simple
procedure to find out if your baby has a
congenital metabolic disorder that may
lead to mental retardation and even death
if left untreated.
Phenylketonuria (PKU)
_________________________________
An inherited disorder that increases the levels of a
substance called phenylalanine in the blood.
 Phenylalanine Is a building blocks of proteins(an
amino acid) that is obtained through the diet.
 Found in all proteins and in some artificial
sweeteners.
PKU symptoms can range from mild to
severe.
Symptoms
________________
_
Symptoms are :
Seizures, tremors, or trembling and
shaking, stunted growth, hyperactivity, skin
conditions, such as eczema
a musty odor of their breath, skin, or urine
What Causes Phenylketonuria?
____________________________________
PKU is an inherited condition caused by
a defect in the PAH gene.
How Is Phenylketonuria Diagnosed?
_____________________________________
__
The screening test will be performed when
the baby is one to two days old and still in the
hospital by taking a blood sample.
How Is Phenylketonuria Treated?
______________________________________
_
People with PKU can relieve their symptoms
and prevent complications by following a
special diet and taking medications.
Pregnancy and Phenylketonuria
______________________________________
__
Woman with PKU may be at risk for
complications if they don’t follow a PKU
meal plan during their childbearing
years. This includes possible miscarriage
CONGENITAL HYPOTHYROIDISM
__________________________________
_
CH is a partial or complete loss of function of
the thyroid gland(hypothyroidism) that affects
infants from birth(congenital).
THYROID GLAND
_______________________
Thyroid gland is a butterfly-shaped
tissue in lower neck.
It makes iodine-containing hormones
that play an important role in
regulating growth, brain development,
and the rate of chemical reactions in
the body(metabolism).
Infants with congenital hypothyroidism are
usually born at term or after term.
They may have difficulty feeding and
experience constipation, and jaundice.
Often, affected infants are described as "good
babies" because they rarely cry and they
sleep most of the time.
Signs and symptoms
_______________________
The physical findings of hypothyroidism may
or may not be present at birth.
Signs include the following:
Goiter, dry skin, pallor and developmental
delay.
Large fontanelles
How are babies screened for
hypothyroidism?
Every baby should be checked for
hypothyroidism soon after birth. Screening
is performed at about five days of age with
a heel-prick blood test.
the treatment of congenital hypothyroidism is
early diagnosis and thyroid hormone
replacement. Optimal care may include
diagnosis before age 10-13 days and
normalization of thyroid hormone blood levels
by age 3 weeks.
Only levothyroxine is recommended for
treatment. Parents should be provided the
hormone in pill form and taught proper
administration.
Treatment

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Phenylketonuria (PKU) and Congenital hypothyroidism (CH)

  • 2. Genetics ________________ __ The study of genes and how certain characteristics are passed from one generation to the next
  • 3. is a disease that is caused by an change or mutation in an individual's DNA. Genetic Disorder or Genetic Disease _______________________________________ __ Genetic Abnormalities ____________________________ is caused by an abnormality in an individual's DNA.
  • 4. MUTATION _________________ _ The changing of the structure of a gene, resulting in a variant form that may be transmitted to subsequent generations caused by the alteration of single base units in DNA, or the deletion, insertion, or rearrangement of larger sections of genes of chromosomes.
  • 5. Genetic disorders can be grouped into three main categories: Single gene disorders: disorders caused by defects in one particular gene. Example : sickle cell anemia, cystic fibrosis, and Huntington's disease.
  • 6. Chromosome disorders: In these disorders, entire chromosomes, or large segments of them, are missing, duplicated, or otherwise altered. Example: Down’s syndrome
  • 7. Multifactorial Disorder: These disorders involve variations in multiple genes, often coupled with environmental causes. Example: cancer
  • 9. Newborn screening (NBS) is a simple procedure to find out if your baby has a congenital metabolic disorder that may lead to mental retardation and even death if left untreated.
  • 10. Phenylketonuria (PKU) _________________________________ An inherited disorder that increases the levels of a substance called phenylalanine in the blood.  Phenylalanine Is a building blocks of proteins(an amino acid) that is obtained through the diet.  Found in all proteins and in some artificial sweeteners.
  • 11. PKU symptoms can range from mild to severe. Symptoms ________________ _ Symptoms are : Seizures, tremors, or trembling and shaking, stunted growth, hyperactivity, skin conditions, such as eczema a musty odor of their breath, skin, or urine
  • 12. What Causes Phenylketonuria? ____________________________________ PKU is an inherited condition caused by a defect in the PAH gene. How Is Phenylketonuria Diagnosed? _____________________________________ __ The screening test will be performed when the baby is one to two days old and still in the hospital by taking a blood sample.
  • 13. How Is Phenylketonuria Treated? ______________________________________ _ People with PKU can relieve their symptoms and prevent complications by following a special diet and taking medications.
  • 14. Pregnancy and Phenylketonuria ______________________________________ __ Woman with PKU may be at risk for complications if they don’t follow a PKU meal plan during their childbearing years. This includes possible miscarriage
  • 15. CONGENITAL HYPOTHYROIDISM __________________________________ _ CH is a partial or complete loss of function of the thyroid gland(hypothyroidism) that affects infants from birth(congenital).
  • 16. THYROID GLAND _______________________ Thyroid gland is a butterfly-shaped tissue in lower neck. It makes iodine-containing hormones that play an important role in regulating growth, brain development, and the rate of chemical reactions in the body(metabolism).
  • 17. Infants with congenital hypothyroidism are usually born at term or after term. They may have difficulty feeding and experience constipation, and jaundice. Often, affected infants are described as "good babies" because they rarely cry and they sleep most of the time. Signs and symptoms _______________________
  • 18. The physical findings of hypothyroidism may or may not be present at birth. Signs include the following: Goiter, dry skin, pallor and developmental delay. Large fontanelles
  • 19. How are babies screened for hypothyroidism? Every baby should be checked for hypothyroidism soon after birth. Screening is performed at about five days of age with a heel-prick blood test.
  • 20. the treatment of congenital hypothyroidism is early diagnosis and thyroid hormone replacement. Optimal care may include diagnosis before age 10-13 days and normalization of thyroid hormone blood levels by age 3 weeks. Only levothyroxine is recommended for treatment. Parents should be provided the hormone in pill form and taught proper administration. Treatment