genetic and developmental disease

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genetic and developmental diseases


 
  
Created Feb 10, 2007
by
kparchomchuk

 

 
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1
greek for monster
 
teraton
2
physical teratogen
 
radiation
3
chemical teratogens
 
drugs (thalidomide caused phocomelia), alcohol (FAS)
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TORCH
 
Toxoplasma, Others, Rubella, Cytomegalovirus, Herpes virus
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carry the same genes
 
homologous chromosomes
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characteristics of down's syndrome
 
mental retardation, characteristic facial features, abnormal extremities, congenital defects...
7
medial fold of the upper eye lid
 
epicanthus
8
enlarged tongue that often protrudes
 
macroglossia
9
5th finger is short and crooked
 
clinodactyly
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abnormalities of sex chromosomes
 
turner's syndrome, klinefelter's syndrome, super male
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turner's syndrome
 
short stature, webbed neck, broad chest, normal genitals, but sterile females (1/3000 births)
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klinefelter's syndrome
 
infertile males with female characteristics (breasts, hips), but diminutive male genitalia...
13
super male
 
normal fertile male, but 20x more likely to commit a violent crime (1/1000 males)
14
autosomal dominant disorders
 
marfan syndrome, hypercholestermia, huntington's chorea, neurofibromatosis
15
marfan's syndrome
 
myltisystemic disease characterized by dolichocephaly, kyphoscloiosis, cv problems, cateracts,...
16
dolichocephaly
 
elongated head
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kyphoscloiosis
 
spinal deformities
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hypercholesteremia
 
lack of LDL receptors causes excessive plaque formation on arteries (1/500); leading cause...
19
huntington's chorea
 
fatal progressive degeneration of motor control; onset in mid 40's; terminates in dementia
20
neurofibromatosis
 
brain tumors develop due to faulty p53 tumor supressor gene
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autosomal recessive disorders
 
cystic fibrosis, sickle-cell anemia, thalassemia, tay-sach's disease, phenylketonuria, albinism
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cystic fibrosis
 
faulty chloride transport through membranes; more common in whites; fatal
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sickle-cell anemia
 
abnormal Hb in RBC's; more common in blacks; fatal
24
thalassemia
 
similar to sickle-cell, but cells are small, fragile, and contain fetal Hb; fatal
25
tay-sach's disease
 
abnormal lysosomes in neurons in the brain; fatal (1/36000 jews)
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phenylketonuria
 
faulty metabolism of the a.a phenylalanine; found in aspartame (1/15000)
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albinism
 
total lack of pigmentation
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sex-linked disorders
 
hemophilia, duchesnne's muscular dystrophy
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hemophilia
 
lacking factor VIII or IX, an important mediator of blood clotting (1/5000 males)
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duchesnne's muscular dystrophy
 
progressive muscle wasting; fatal (1/3300 males)
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multifactorial genetic disorders
 
anencephaly, dwarfism, mental retardation, hypertension, T2 diabetes mellitus
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anencephaly
 
brain and spinal cord (spina bifida) fail to develop (prevented by folic acid)
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dwarfism
 
abnormally small stature; insufficient GH
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mental retardation
 
abnormal development of the brain and/or cognitive function; genetic or congenital
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hypertension
 
high BP; other risk factors involved
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T2 diabetes mellitus
 
faulty glucose metabolism; also linked to obesity and sugar intake
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autosomal recessive disorders:
 
these traits are encoded by genes located on one of the 22 autosomes
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chromosomes
 
barlike bodies of tightly coiled chromatin; visible during cell division
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premature
 
characterized by children born before the 37th week of pregnancy and those who weigh
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Sudden Infant Death Syndrome (SIDS)
 
sudden unexpected death in infants 2-9 mo.
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teratogens
 
agents that cause fetal abnormalities
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prenatal diagnosis
 
one of the most important elements of genetic counseling. Diagnoses many genetic diseases &...
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examples of prenatal diagnosis
 
ultrasonographic examination, chorionic villus biopsy, amniotic fluid analysis, maternal blood...
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CT disease
 
marfan syndrome
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bone diseases
 
anchondroplastic dwarfism, osteogenesis imperfecta
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CV system disease
 
familial hypercholesteremia
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kidney disease
 
adult polycystic kidney disease, wilm's tumor
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hematopoeitic system disease
 
spherocytosis
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GI system disease
 
familial polyposis coli
50
nervous system disease
 
huntington's disease, neurofibromatosis
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lack portions of the chromosomal structure
 
deletions
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bits moved from one chromosome to another
 
translocations
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humans have this many chromosomes
 
46 (23 pairs) 1 pair is the sex chromosome, either XX or Xy & the other 22 pairs are autosomal.
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Gives rise to down's syndrome
 
an extra chromosome 21 (trisomy 21)
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The likelihood of inheriting an Autosomal dominant disorder from one parent is:
 
50%
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Protein functions
 
membrane transport, structure, enz activity, mvt, cell ID, cell adhesion, DNA replication,...
57
numerical chromosomal abnormality involving a loss or gain of chromosomes
 
Aneuploidy
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The most common autosomal recessive disease
 
cystic fibrosis
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alternate forms of genes
 
alleles
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due to incomplete fusion of the midline structures covering the spinal cord
 
anencephaly
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muscle wasting disease caused by a gene on the X chromosome
 
muscular dystrophy
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deletions cause pathologies such as
 
wilm's tumor, mental retardation, or retinoblastoma
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translocations usually cause
 
infertility, or congenital malformation syndromes
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common numerical abnormality involving an autosomal chromosome
 
Down's syndrome
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inborn error of protein metabolism
 
phenylkenonuria
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the 4 stages of normal prenatal development
 
preimpantation, embryonic, early organogenesis, late organogenesis
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preimplantation stage
 
extends from the first cleavage of the zygote ot the formation of the blastocyst
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embryonic stage
 
characterized by germ layer formation during early postimplantation stages of development
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early organogenesis
 
organ primordia formation
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late organogenesis
 
the anatomic and functional maturation of organs occurs
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most common source of physical teratogens
 
radiation
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congenital rubella is marked by a triad that includes:
 
microcephaly, microphthalmia, and congenital heart disease
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small brain
 
microcephaly
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dilation of the lateral ventricles
 
hydrocephalus
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small eyes
 
microphthalmia
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inflammation of the inside layers of the eye with calcifications
 
chorioretinitis
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clouding of the lens
 
cateract
78
What can cause intraventricular hemorrhage in a premature neonate
 
IRDS (infant respiratory distress syndrome)
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Familial diseases that are not inherited according to the rules of Mendelian genetics are considered...
 
multi-factorial inheritance patterns
80
Name the most common type of muscular dystrophy
 
Name the most common type of muscular dystrophy
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4 subdivisions associated w/ hypercholesteremia
 
high blood cholesterol, high cholesterol, high serum chol, hyperlipidemia (all familial)
82
Formation of xanthomas
 
deposition of chol in CT of the skin leads to formation of lipid-rich nodules called xanthomas;...
83
What age is the typical onset of Duschennes Mucular Dystrophy?
 
early childhood; about 2-6yrs
84
How does Duschenne's muscular dystrophy progress?
 
slowly, but will affect all vol muscle. survival is rare beyond late 20's.
85
What are some typical symptoms associated with Duschenne's muscular dystrophy?
 
generalized weakness & muscle wasting affecting limb and trunk muscles first. calves are often...

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