salem was born at term to a 41 years old multiparous woman
salem postpartum signs:
upslanting eyes
heart murmur
breathing difficulties
admitted to neonatal intensive care unit
equipments
needed:
oxygen saturation
monitor-oxygenation
feeding
tube-nutrition
IV
pump-nutrition
temperature monitor-must be kept warm as he was just
delivered from his mom's womb which is warm
ECG and blood pressure monitor
he needed immediate resuscitation
ventilation
(bad-musk)
endotracheal
intubation
karyotyping detects
number of chromosomes
normally we have 23 pair of
chromosomes (46 or 2n)
haploid(n)=23
chrom. -gamets
diploid(2n)=46chrom-zygote
or body cells
abnormal
polyploidy
tripoid
3(n)=3(23)=69 chromosomes
tetraploid
4(n)=4(23)=92 chromosomes
aneuploidy
causes
translocation: displacment of
a part or whole of one
chromosome to another one
3%
causes trisomy
21
which leads to down
syndrome
the age of the mother plays an important rule in
causing such failures in meiosis or others. the
older the woman the more she's at risk of having
a down syndrome child
complications
mild intellectual disability
IQ score range: 50-70
IQ TEST Assessment
vision problems
heart defects
most common: antrioventicular septal defect
hearing problems
hypothyrodism
how to break bad news?
practice what you're going to say
choose the right time
signal bad news before you dive in
accept silence for a bit
decide what to do next
Salem was send to Sharjah city for humanitarian service
their mission
reduce the cause of varies disabilities through early intervention
how to deal with down syndrome
financial aspects
education
equipments
treatment
insurance
behavioral aspect
stubborn
attention problem
compulsive behavioral
nondisjunction: failure for
chromosomes to separate during
anaphase
in meiosis 1
90%
in meiosis 2
10%
failure of duplication: one
chromosome fails to duplicate
during S phase
structure of chromosome
normal
abnormal
deletion
duplication
inversion
translocation
balanced
unbalanced
can be performed by taking any
cell like: amniotic fluid,blood, bone
marrow and placenta
other tests
screeniing test
detects risk for pregnancy to have down
children baby. done in first and second
trimester.
uses ultrasound
uses maternal serum screening
genetic counseling
process
evaluating family history
evaluate medical history
genetic tests
analyze blood samples and determine whether you,
your partner or your child carry genes for certain
inherited disorders.