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14 Cards in this Set

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Common features of Patau syndrome?

Patau syndrome = trisomy 13




1.) Microcephalic, with small eyes


2.) Cleft lip/palate


3.) Polydactyly


4.) Scalp lesions


(Rocker bottom feet may be seen at birth)

Common features of Edward's syndrome?

Edward's syndrome = trisomy 18



1.) Micrognathia (small jaw, so teeth don't align properly. may present as 'small chin')


2.) Low-set ears


3.) Rocker bottom feet


4.) Overlapping of fingers


Common features of Fragile X?

1.) Learning difficulties


2.) Macrocephaly


3.) Long face


4.) Large ears


5.) Macro-orchidism

Common features of Noonan's syndrome?

1.) Webbed feet

2.) Pectus excavatum


3.) Short stature


4.) Pulmonary stenosis

Common features of Pierre-Robin syndrome?

1.) Micrognathia


2.) Posterior displacement of the tongue (may result in upper airway obstruction)


3.) Cleft palate

Common features of Prader-Willi syndrome?

1.) Hypotonia

2.) Hypogonadism


3.) Obesity




(At birth - very floppy, difficult to feed (high-arched palate, small in size, pointy fingers ('tapering, delicate'). Then later gains mega weight)


Common features of William's syndrome?

1.) Short stature

2.) Learning difficulties


3.) Friendly, extrovert personality


4.) Transient neonatal hypercalcaemia


5.) Supra-valvular aortic stenosis


It is worth noting that Pierre-Robin syndrome shares many of its features with a different syndrome, called ...

Treacher-Collins syndrome


One of the key differences is that Treacher-Collins is autosomal dominant, so there is usually a family history of similar problems.

A 2-week-old infant with a small chin, posterior displacement of the tongue and cleft palate.




Most likely diagnosis?

Pierre-Robin syndrome

Supravalvular aortic stenosis is found in a 3-year-old boy with learning difficulties.




Most likely diagnosis?

William's syndrome

A 9-week-old is noted to have a small chin and rocker-bottom feet.




Most likely diagnosis?

Edward's syndrome




(Rocker-bottom feet may also be seen in Patau syndrome but when seen in combination with micrognathia Edward's syndrome is the most likely diagnosis)

A 35 year old pregnant woman is at what risk of having a child with Down's syndrome?


1.) 1 in 125


2.) 1 in 270
3.) 1 in 550


4.) 1 in 1000



1 in 270

What later complications can come about in an adult with Down's syndrome?

Subfertility (males almost always infertile due to impaired spermatogenesis. Females usually subfertile, & have problems in labour and pregnancy)


Repeated respiratory infections (+hearing impairment from glue ear)


Acute lymphoblastic leukaemia


Hypothyroidism; Alzheimer's disease


Atlantoaxial instability

What are potential causes for obesity in children?


(Some causes are syndromes, some are diseases)

Growth hormone deficiency


Hypothyroidism


Down's syndrome


Cushing's syndrome


Prader-Willi syndrome