Case based questions S1; U1

G4P1021

appearance or color

pulse

grimace

activity (muscle tone)

respiration

trisomy 21

failure of crossing over during cell division (mitosis or meiosis), resulting in daughter cells with an abnormal number of chromosomes (aneuploidy)

trisomy 21, duodenal atresia, atrial septal defect

25-year-old Caucasian female, comes to your Ob/Gyn practice for prenatal care during her second pregnancy

seizure disorder controled on medication (carbomazopine)
no folate in diet (uses unprocessed flour and no vitamins)
cousin with baby born with anencephally

form of vitamin B9 used for purine synthesis and methylation; large amount needed for nucleic acid synthesis and formation of DNA and RNA; large amount needed for movement of axon potentials in early pregnancy

normal

abnormal

most severe spinal bifida where spinal cord and meninges protride from opening in spine (found in case 2: mother valerie; baby david)

pancost tumor; horner's also found (not in image)

CC: A 35-year-old woman presents to your neurology practice with sudden onset of left-side headache and eye pain.

CC: Fred Lyons, 66-year-old male, presents to your office complaining of shoulder pain and tingling in the left arm

pain in left eye, sudden eye pain, 6/10 pain headache, vomiting on and off all weak, never had neuro problems before, diplopia

Ondosterone (zolfran)

cn III palsy caused by enlarging aneurism

subarachnoid hemorages