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22 Cards in this Set

  • Front
  • Back

ACEI

renal damage

alkylating agents

lack of digits multiple anomalies

aminoglycosides

ototoxicity, vestibulotoxicity

antiepileptics

neural tube defects, cardiac defects, cleft palate, skeletal abnormalitiets (phalanx/nail hypoplasia, facial dysmorphism)

diethylstilbestrol

vaginal clear cell adenocarcinoma, congenital mullerian abnormalities

folate antagonists: trimethoprim, methotrexate, antiepileptics

neural tube defects

isotretinoin

multiple severe birth defects, pts must be on contraception to take this medication.

lithium

ebstein anomaly (apical displacement of the tricuspid valve causing RHF)

methimazole

aplasia cutis congentia

tetracyclines

discolored teeth, inhibited bone growth

thalidomide

limb defects (phocomelia, micromelia- flipper limbs)

warfarin

bone deformities, fetal hemorrhage, abortion, ophthalmologic abnormalities.


"Keep babbies heppy with heparin."

Fetal Alcohol Syndrome

Cardiac (PDA, septal defects, tetralogy of fallot), microcephaly, facial abnormalities (smooth philtrum, thin vermillion border, small palpebral fissures), limb dislocation, developmental delays, intellectual disabilities.


Severe: heart-lung fistulas and holoprosencephaly.


All from cell migration failures.

Cocaine

low birth weight, preterm birth, IUGR, placental abruption

Smoking

Nicotine -> vasodilation, CO -> impaired O2 delivery.


Low birth weight (#1 cause in developing countries), preterm labor, placental problems, IUGR, SIDS

iodine deficiency

hypothyroidism (cretinism): pot-bellied, pale, puffy face, protruding umbilicus, protuberant tongue, short statue, poor brain development

maternal diabetes

Macrosomia, hypoglycemia at birth, caudal regression syndrome (anal atresia to sirenomelia), cardiac (hypertrophic cardiomyopathy, transposition of the great vessels), neural tube defects

Methylmercury

neurotoxicity. From seafood like swordfish, shark, tilefish, king mackerel.

Vitamin A excess

high risk spontaneous abortions and birth defects (cleft palate, cardiac).

XR

microcephaly, intellectual disability

Timing of teratogen exposure during gestation

Most susceptible 3rd-8th weeks.


<3wks all or none effect


>8wks growth and function altered

chloramphenicol

gray baby syndrome