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19 Cards in this Set

  • Front
  • Back

Achondroplasia

Defect: cell signaling of FGF–3
CF:
1– dwarfism
2– short limbs
3– head and truck normal
Associated with advanced paternal age and sporatic mutations


ADPKD is associated with?
Polycystic liver disease
berry aneurysm
MVP

Adult polycystic kidney disease
Mut: APKD1, chromosome 16
CF:
1– bilateral massive enlargement of the kidneys
2– flank pain
3– hematuria
4– HTN
5– progressive renal faiture

Hereditary hemorrhagic telangiectasia
Disorder of blood vessels
Telangestacia
recurrent epistaxis
skin discolorations
AVMs

Familial adenomatous polyposis
APC gene= Deletion on Chromosome 5
Adematous polyps after puberty
↑ ↑ ↑ risk of colon CA

Familial hypercholesterolemia
Defective or absence of LDL receptor= ↑LDL
1– tendon xanthomas (achiles tendon)
2– severe artherosclerosis
3– MI before 20

Hereditary spherocytosis
Defect in spectrin or ankyrin
→ spherocytes
CF:
1– hemolytic anemia
2– ↑MCHC
3- Jaundice
Dx with Osmotic Fragility Test
Tx with splenectomy

Huntington's disease
"Cs":
Chromosome 4
("cuatro")
CAG repetition
CF:
1– Cognitive decline: depression
, dementia
2 choreiform movements
3– caudate atrophy
4– ↓GABA and ACh
5-- "cuarenta"--presents at 40


Marfan's syndrome

Fibrillin gene mutation


CF


1– tall w long extremities


2– pectus excavatum


3– hyperextensive joints


4– long, tapering fingers and toes


5– cystic medial necrosis of aorta––> aortic incompetence and dissecting aortic aneurysms


6– Floppy mitral valve


7– subluxation of lenses


MEN 1
MEN1 mutation
3 P's
parathyroid, pancreatic, pituitary tumors

MEN 2A
RET gene
Medullary thyroid carcinoma
pheocromocytoma
parathyroid tumor

MEN 2B
Medullary thyroid carcinoma
pheocromocytoma
Oral/intestinal ganglioneuromatosis= marfan habitus

Neurofibromatosis 1 (Von Reckilghausen's disease)
Mutation on long arm chr 17
Cafe–au– lait spots
neural tumors
Lisch nodules
Scoliosis
optic pathway gliomas
pheocromocytomas
↑tumor susceptibility

Neurofibromatosis 2
NF 2 on chromosome 22

Bilateral acoustic neuroma
juvenile cataracts

Tuberous sclerosis
Facial lesion (adenoma sebaceum)
hypopigmented ash leaf spots cortical and retinal hamartomas
seizures
renal cysts
MR
Renal angiomyolipoma
cardiac rhabdomyoma
↑ incidence of astrocytoma

TX for hereditary spherocytosis
Splenectomy

Von–Hippel– Lindau
Deletion on VHL gene on chr 3
→ VEGF
CF:
1– hemangioblastomas
2– multiple bilateral renal cell carcinomas
3--Pheochromocytomas


Li-Fraumeni Syndrome

Abnormalities in TP 53
Multiple malignanices at an early age
SBLA cancer syndrome:
Sarcoma
Breast
Leukemia
Adrenal gland


Gardner Syndrome

APC gene mutation:
Osteomas
Lipomas
Sebaceous cysts
Colon polps→ colon CA