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UAMS Dysmorphology 3
Nose, Perioral Region, Oral Cavity and Neck
Question | Answer |
---|---|
In a Nose exam what 5 things are assessed? | Size relative to face, Symmetry/position, Growth in three dimensions, Firmness, and objective measures |
Deformations of the Nose caused by? | Oligohydramnios, Multiples, Uterine abnormalities, Fetal positioning. |
Disruptions of the Nose caused by? | Amniotic bands |
Dysplasias of the Nose can cause? | Coarsening - Dyggve-Melchior-Clausen syndrome Flat/low nasal bridge - achondroplasia Prominent nose - Seckel syndrome Short nose/ anteverted nares - Stickler |
Malformations of the Nose? | Holoprosencephaly - Incomplete division of the forebrain into hemisphers. Frontonasal dysplasia - defect in midface development. Nasal pit, Anterior encephalocele, Choanal atresia/stenosis |
Hallerman-Streiff syndrome features | thin, small pointed nose. |
Robinow syndrome features | fetal face, short nose anteverted nares |
A VCFS 22q11.2 nose? | Columnar nose (narrow nose, squared nasal root) |
Trichorhinophalangeal syndrome | "pear-shaped" nose. Hair Nose Fingers. |
Rubenstein-Taybi features | prominent nose, short columella, deviated septum |
Binder syndrome features | Hypoplastic nose, coanal atresia |
Perioral Region exam, 4 things examined? | Size, symmetry, contour, and Lateral Inspection. |
Retrognathia | Overbite |
Prognathia | Jutting Mandible |
Mandibular Hypoplasia | Small mandibular development. Most Common abnormality. Deformational or Malformational |
Disruptions of the Perioral region | Amniotic bands |
Dysplasias of the Perioral Region | Prominent lips, Angiofibromas, Macrognathia |
Malformations of the Perioral Region | Cleft Lip, Median cleft, Truemacrostomia, Micrognathia, Lower Lip pits. |
Oral Cavity examination looks for what 5 things | Anatomy, Teeth, Palate shape, Tongue size, Palate movement/submucosal cleft |
Disruptions of the Oral Cavity | Amniotic Bands |
Deformations of the Oral Cavity | Persistence of the secondary alveolar ridge, U-shaped palate |
Dysplasias of the Oral Cavity | Pigmented macules, Enamel hypoplasia, Oligo/anodontia, V-shaped palate. |
Malformations of the Oral Cavity | Microglossia, Macroglossia, Asymmetry of tongue, Lobulated tongue, Cleft palate, Bifid uvula, submucosal cleft palate. |
Cricoid Cartilage | Adam's Apple |
Which 3 arches give rise to the development of the neck. | 2nd, 3rd, 4th. |
Atlas, Axis and occipital condyles? | Fit together to have a place for the skull to sit. |
What are the 3 landmarks of the neck | Thyroid cartilage, suprasternal notch, clavicle |
What syndrome has axial and atlas insufficiency? | Down syndrome. |
4 examination techniques of the Neck | Inspection/obervation, Neck motility, Palpation, Auscultation |
Deformations of the neck | Redundant neck skin, Torticollis, Lateral Neck webbing. |
2 syndromes with neck webbing? | Noonan and Turners |
Disruptions of the neck | Amniotic bands and umbilical cord. |
Dysplasias of the neck | Thyroid enlargement, Absence of thyroid, Hypoplasia/aplasia of the thymus and parathyroid glands. |
Name the 1 syndrome we talked about in regard to the dysplasia of the neck | DiGeorge syndrome - Failure of tissue differentiation in the 3rd and 4th pharyngeal pouch |
Malformations of the neck | Short neck, neck pterygia (Escobar), Branchial arch remnants, Thyroglossal duct cysts or sinus. |