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20 Cards in this Set

  • Front
  • Back

ARBs/ACE inhibitors

Renal damage - oligohydramnios

Alkylating agents

Absence of digits, multiple anomalies

Aminoglycosides

Ototoxicity

Antiepileptic drugs - Carbamazepine, phenytoin, phenobarbital

Neural tube defects, cardiac defects, cleft palate, skeletal abnormalities (e.g. phalanx/nail hypoplasia, facial dysmorphism)

Diethylstilbestrol

Vaginal clear cell carcinoma, congenital Mullerian anomalies

Folate antagonists - Trimethoprim, methotrexate, antiepileptics

Neural tube defects

Isotretinoin

Multiple severe birth defects

Lithium

Epstein anomaly (atypical displacement of tricuspid valve)

Methimazole

Aplasia cutis congenita

Tetracyclines

Discolored teeth, inhibited bone growth

Thalidomide

Limb defects (phocomelia, micromelia - "flipper" limbs)

Warfarin

Bone deformities, fetal hemorrhage, abortion, ophthalmologic abnormalities

Alcohol

Common cause of birth defects and intellectual disability; fetal alcohol syndrome

Cocaine

Low birth weight, preterm birth, IUGR, placental abruption

Smoking (nicotine, CO)

Low birth weight (leading cause in developed countries), preterm labor, placental problems, IUGR, SIDS

Iodine (lack or excess)

Congenital goiter or hypothyroidism (cretinism)

Maternal diabetes

Caudal regression syndrome (anal atresia to sirenomelia), congenital heart defects, neural tube defects, macrosomia

Methylmercury - highest in swordfish, shark, tilefish, king mackerel

Neurotoxicity

Vitamin A excess

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

X-rays

Microcephaly, intellectual disability