The Bedside Dysmorphologist by William Reardon

By William Reardon

Dysmorphology is the examine of congenital malformations and is among the middle parts of scientific genetics. frequently the 1st expert seeing those start defects is a pediatrician, who notices, for instance, that the ears might be relatively low set. whereas in itself minor, this actual signal may well point out a malformation that would be followed through different critical genetic issues. Does the signal, or does it now not, point out an underlying syndrome? that query is usually particularly tough to respond to, and the texts which can reduction in prognosis are hugely refined and really daunting for the training pediatrician. the purpose of Reardon's new textual content is to supply a realistic way to this case. In a layout utilizing a fantastic color representation of the most typical and so much elusive indicators at the left-hand web page and transparent, concise textual content descriptions at the correct, Reardon will create a distinct and worthy consultant to making a choice on those malformations and making a choice on their scientific importance. Willie Reardon, a veteran OUP writer and eminent dysmorphologist, is well-suited to jot down this sort of ebook, with a view to attract a large viewers of pediatricians, geneticists, genetic counselors, and embryologists.

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Be aware that some children can be diagnosed with developmental delay prematurely and surgical intervention for ptosis can result in developmental catch-up. Epicanthic folds are well known through the association with Down syndrome, but are nonspecifically observed in a whole range of chromosomal aneuploidies, all of which will give rise to developmental concerns. Epicanthus persisting into late childhood and beyond is characteristic of Stickler syndrome, due to the depressed nasal bridge, so do check for cleft palate repair, excess joint laxity, and a history of retinal detachment.

3A Note the prominent nasal bridge and glabellar region in this 9-month-old baby with Wolf-Hirschhorn syndrome. ’’ The feeding tube betrays the continuing feeding difficulties. 3A. The girl in this photograph shows epicanthic folds, especially noteworthy on the right, due to the nasal bridge depression. The underlying diagnosis in this case is chondrodysplasia punctata. 4 Abnormal Alae Nasi and Nasal Tip Recognizing the Sign The alae nasi comprise the lateral walls of the nostrils, descending from the nasal tip to merge with the upper lip.

Establishing a Differential Diagnosis Anteverted nares do not necessarily signify an underlying syndromic diagnosis, but are particularly associated with a few well-established syndromes. De Lange syndrome will be recognizable by the characteristic synophrys of the eyebrows, low birth weight, short limbs, and, characteristically, short first metacarpal. Anteverted nares in Williams syndrome are often seen in the context of a neonatal cardiac murmur of supravalvular aortic stenosis, perhaps with documented hypercalcemia and a stellate pattern to the iris.

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