Down syndrome - Revision history

Rossdonaldson1: /* Video */

2024-04-17T18:48:35Z

Video

← Revisión anterior		Revisión del 18:48 17 abr 2024
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	==See Also==		==See Also==
	[[Cervical injury (peds)]]		[[Cervical injury (peds)]]

	~~==Video==~~
	~~{{#widget:YouTube\|id=M9jfoCA8paA}}~~

	==References==		==References==

ClaireLewis: /* Orthopedic */

2019-09-28T18:52:58Z

Orthopedic

← Revisión anterior		Revisión del 18:52 28 sep 2019
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	===Orthopedic===		===Orthopedic===
	*Cervical spine - increased risk of [[atlanto-occipital dissociation]]		*Cervical spine - increased risk of [[atlanto-occipital dissociation]]
	*Ligamentous laxity increases the risk of dislocation or subluxation at any joint		*Ligamentous laxity increases the risk of [[joint dislocations\|dislocation]] or subluxation at any joint

	==Evaluation==		==Evaluation==

ClaireLewis at 16:05, 28 September 2019

2019-09-28T16:05:25Z

← Revisión anterior		Revisión del 16:05 28 sep 2019
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	===Gastrointestinal===		===Gastrointestinal===
	*Increased risk of intestinal atresia and [[Hirschsprung's disease]]		*Increased risk of [[duodenal atresia\|intestinal atresia]] and [[Hirschsprung's disease]]
	*Functional [[ileus]] and [[constipation]] are common		*Functional [[ileus]] and [[constipation]] are common

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	*Increased incidence of cataracts, hearing loss		*Increased incidence of cataracts, hearing loss
	*Small ear canals with increased rates of [[otitis media]]		*Small ear canals with increased rates of [[otitis media]]
	*Early onset hearing loss.		*Early onset [[hearing loss]].

	===Orthopedic===		===Orthopedic===
	*Cervical ~~Spine~~ - increased risk of atlanto-~~axial subluxation~~		*Cervical spine - increased risk of [[atlanto-occipital dissociation]]
	*Ligamentous laxity increases the risk of dislocation or subluxation at any joint		*Ligamentous laxity increases the risk of dislocation or subluxation at any joint

	==Evaluation==		==Evaluation==
	Evaluation and management should focus on the patient's complaint or anatomic area of of concern while taking into consideration the above disease specific pathologies.		*Evaluation and management should focus on the patient's complaint or anatomic area of of concern while taking into consideration the above disease specific pathologies.

	==Management==		==Management==
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	<references/>		<references/>

	[[Category:Pediatrics]][[Category:~~Endocrinology~~]][[Category:~~Trauma~~]]		[[Category:Pediatrics]] [[Category:Trauma]] [[Category:Misc/General]]

ClaireLewis at 18:32, 19 August 2019

2019-08-19T18:32:01Z

← Revisión anterior		Revisión del 18:32 19 ago 2019
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	*Tracheal stenosis		*Tracheal stenosis
	*Obstructive sleep apnea		*Obstructive sleep apnea
	*[[Pulmonary ~~arterial~~ hypertension]]		*[[Pulmonary hypertension]]

	===Cardiac===		===Cardiac===
	*Congenital heart disease (usually [[ASD]] or [[VSD]]) in ~40%		*[[Congenital heart disease]] (usually [[ASD]] or [[VSD]]) in ~40%

	===Endocrine===		===Endocrine===
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	===Gastrointestinal===		===Gastrointestinal===
	*Increased risk of intestinal atresia and [[~~Hirschsprung’s~~ disease]]		*Increased risk of intestinal atresia and [[Hirschsprung's disease]]
	*Functional [[ileus]] and [[constipation]] are common		*Functional [[ileus]] and [[constipation]] are common

Nathanliu91: edited clinical features, video

2019-03-14T22:46:52Z

edited clinical features, video

← Revisión anterior		Revisión del 22:46 14 mar 2019
Línea 16:		Línea 16:
	*Obstructive sleep apnea		*Obstructive sleep apnea
	*Ligamentous laxity		*Ligamentous laxity
	*Single transverse palmar crease		*Single transverse palmar crease (Simian crease)
	*Large tongue		*Large tongue
	*Congenital heart disease		*Congenital heart disease
	*Flattened nose		*Flattened nose
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	[[Cervical injury (peds)]]		[[Cervical injury (peds)]]

	==~~External Links~~==		==Video==
			{{#widget:YouTube\|id=M9jfoCA8paA}}

	==References==		==References==

Mholtz at 09:40, 11 February 2019

2019-02-11T09:40:24Z

← Revisión anterior		Revisión del 09:40 11 feb 2019
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	==Clinical Features==		==Clinical Features==
	Patients may have some or all of the following abnormalities~~. All patients have intellectual disability~~:		All patients have intellectual disability. Patients may also have some or all of the following abnormalities:
	*Mental impairment		*Mental impairment
	*Abnormal teeth		*Abnormal teeth
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	*Umbilical hernia		*Umbilical hernia
	*Shortened hands		*Shortened hands
	*Increased skin back of neck		*Increased skin at the back of the neck
	*Short neck		*Short neck
	*Hypotonia ~~tone~~		*Hypotonia
	*Obstructive sleep apnea		*Obstructive sleep apnea
	*Ligamentous laxity		*Ligamentous laxity
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	===Cardiac===		===Cardiac===
	*Congenital heart disease (usually [[ASD]] or [[VSD]]) in ~40%		*Congenital heart disease (usually [[ASD]] or [[VSD]]) in ~40%

	===Endocrine===		===Endocrine===
	*[[Thyroid disease]] is common		*[[Thyroid disease]] is common

	===Gastrointestinal===		===Gastrointestinal===
	*Increased risk of intestinal atresia and [[Hirschsprung’s disease]]		*Increased risk of intestinal atresia and [[Hirschsprung’s disease]]
	*Functional [[ileus]] and [[constipation]] are common		*Functional [[ileus]] and [[constipation]] are common

	===HEENT===		===HEENT===
	*Increased incidence of cataracts, hearing loss		*Increased incidence of cataracts, hearing loss
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	*Ligamentous laxity increases the risk of dislocation or subluxation at any joint		*Ligamentous laxity increases the risk of dislocation or subluxation at any joint

	==Evaluation ~~and Managment~~==		==Evaluation==
	Evaluation and management should focus on the patient's complaint or anatomic area of of concern while taking into consideration the above disease specific pathologies.		Evaluation and management should focus on the patient's complaint or anatomic area of of concern while taking into consideration the above disease specific pathologies.

			==Management==
			*Based on diagnosis and specific underlying problem

	==Disposition==		==Disposition==
	~~Disposition will depend~~ on ~~the~~ specific problem ~~and availability of any needed specialist~~		*Based on specific underlying problem

	==See Also==		==See Also==
	[[Cervical injury (peds)]]		[[Cervical injury (peds)]]

			==External Links==


	==References==		==References==

SLuckettG: /* Airway/Respiratory */

2019-02-06T15:56:55Z

Airway/Respiratory

← Revisión anterior		Revisión del 15:56 6 feb 2019
Línea 27:		Línea 27:

	===Airway/Respiratory===		===Airway/Respiratory===
	*Macroglossia and a relatively small mouth (		*Macroglossia and a relatively small mouth
	*Tracheal stenosis		*Tracheal stenosis
	*Obstructive sleep apnea		*Obstructive sleep apnea
	*[[Pulmonary arterial hypertension]]		*[[Pulmonary arterial hypertension]]

	===Cardiac===		===Cardiac===
	*Congenital heart disease (usually [[ASD]] or [[VSD]]) in ~40%		*Congenital heart disease (usually [[ASD]] or [[VSD]]) in ~40%

ClaireLewis at 02:33, 27 January 2019

2019-01-27T02:33:21Z

← Revisión anterior		Revisión del 02:33 27 ene 2019
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	==Background==		==Background==
	Caused by trisomy 21, the most common chromosomal disorder in humans. Patients are at increased risk for injuries and diseases related to issues caused by their genetic condition.		*Caused by trisomy 21, the most common chromosomal disorder in humans
			*Patients are at increased risk for injuries and diseases related to issues caused by their genetic condition.

	==Clinical Features==		==Clinical Features==
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	==Pathology by System==		==Pathology by System==
	~~The following are common clinical conditions encountered in patients~~ with Down's		Patients with Down syndrome may have some or all of the following EM-relevant pathologies
	===Airway===
	*Macroglossia and a relatively small mouth		===Airway/Respiratory===
			*Macroglossia and a relatively small mouth (
	*Tracheal stenosis		*Tracheal stenosis
	*Obstructive sleep apnea ~~and pulmonary~~ arterial hypertension		*Obstructive sleep apnea
			*[[Pulmonary arterial hypertension]]
			===Cardiac===
			*Congenital heart disease (usually [[ASD]] or [[VSD]]) in ~40%
	===Endocrine===		===Endocrine===
	*~~Hashimoto’s thyroiditis is present in a third of patients and acquired hypothyroidism~~ is common		*[[Thyroid disease]] is common
	===Gastrointestinal===		===Gastrointestinal===
	*~~Pediatric patients are at~~ risk ~~for~~ intestinal atresia and Hirschsprung’s disease		*Increased risk of intestinal atresia and [[Hirschsprung’s disease]]
	*Functional ~~illeus~~ and constipation is common		*Functional [[ileus]] and [[constipation]] are common
	===~~HENT~~===		===HEENT===
	*Increased incidence of cataracts		*Increased incidence of cataracts, hearing loss
	*Small ear canals with increased rates of otitis media		*Small ear canals with increased rates of [[otitis media]]
	*Early onset hearing loss.		*Early onset hearing loss.
	~~===Cardiac===~~
	*Cardiac defects - complete atrioventricular septal defect (most common), ventricular septal defect, atrial septal defect, Tetralogy of Fallot, patent ductus arteriosus

	===Orthopedic===		===Orthopedic===
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	==Evaluation and Managment==		==Evaluation and Managment==
	Evaluation and ~~managment~~ should focus on the patient's complaint or anatomic area of of concern while taking into consideration the above disease specific pathologies.		Evaluation and management should focus on the patient's complaint or anatomic area of of concern while taking into consideration the above disease specific pathologies.

	==Disposition==		==Disposition==

Sabedi: /* Cardiac */

2018-10-22T02:55:39Z

Cardiac

← Revisión anterior		Revisión del 02:55 22 oct 2018
Línea 38:		Línea 38:
	*Early onset hearing loss.		*Early onset hearing loss.
	===Cardiac===		===Cardiac===
	*Cardiac defects - ~~endocardial cushion~~ defect atrial ~~and ventricular~~ septal ~~defects~~, ~~valvular dysfunction~~		*Cardiac defects - complete atrioventricular septal defect (most common), ventricular septal defect, atrial septal defect, Tetralogy of Fallot, patent ductus arteriosus

	===Orthopedic===		===Orthopedic===
	*Cervical Spine - increased risk of atlanto-axial subluxation		*Cervical Spine - increased risk of atlanto-axial subluxation

Ostermayer at 03:08, 27 November 2017

2017-11-27T03:08:50Z

← Revisión anterior		Revisión del 03:08 27 nov 2017
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	*Ligamentous laxity increases the risk of dislocation or subluxation at any joint		*Ligamentous laxity increases the risk of dislocation or subluxation at any joint

	==Evaluation==		==Evaluation and Managment==
			Evaluation and managment should focus on the patient's complaint or anatomic area of of concern while taking into consideration the above disease specific pathologies.

	~~==Management==~~


	==Disposition==		==Disposition==
			Disposition will depend on the specific problem and availability of any needed specialist

	==See Also==		==See Also==
			[[Cervical injury (peds)]]

	~~==External Links==~~


	==References==		==References==
	<references/>		<references/>

	[[Category:Pediatrics]][[Category:Endocrinology]]		[[Category:Pediatrics]][[Category:Endocrinology]][[Category:Trauma]]