Diferencia entre revisiones de «Down syndrome»

Sin resumen de edición
Sin resumen de edición
Línea 14: Línea 14:
*Hypotonia tone
*Hypotonia tone
*Obstructive sleep apnea
*Obstructive sleep apnea
*Flexible ligaments
*Ligamentous laxity
*Single transverse palmar crease
*Single transverse palmar crease
*Large tongue  
*Large tongue  
Línea 20: Línea 20:
*Flattened nose
*Flattened nose
*Strabismus
*Strabismus
*Undescended testicles


*Undescended testicles 20%[28]
==Pathology by System==
 
The following are common clinical conditions encountered in patients with Down's
==Differential Diagnosis==
===Airway===
 
*Macroglossia and relatively small mouth increase the difficulty of intubation
===Endocrine===
*Hashimoto’s thyroiditis is present in a third of patients and acquired hypothyroidism is common
===Gastrointestinal===
*intestinal atresia. Constipation is almost universal in Down syndrome. In addition, there is a higher rate of Hirschsprung’s disease.


==Evaluation==
==Evaluation==

Revisión del 11:26 20 nov 2017

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.

Clinical Features

Patients may have some or all of the following abnormalities. All patients have intellectual disability:

  • Mental impairment
  • Abnormal teeth
  • Stunted growth
  • Slanted eyes
  • Umbilical hernia
  • Shortened hands
  • Increased skin back of neck
  • Short neck
  • Hypotonia tone
  • Obstructive sleep apnea
  • Ligamentous laxity
  • Single transverse palmar crease
  • Large tongue
  • Congenital heart disease
  • Flattened nose
  • Strabismus
  • Undescended testicles

Pathology by System

The following are common clinical conditions encountered in patients with Down's

Airway

  • Macroglossia and relatively small mouth increase the difficulty of intubation

Endocrine

  • Hashimoto’s thyroiditis is present in a third of patients and acquired hypothyroidism is common

Gastrointestinal

  • intestinal atresia. Constipation is almost universal in Down syndrome. In addition, there is a higher rate of Hirschsprung’s disease.

Evaluation

Management

Disposition

See Also

External Links

References