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Embryology 5 (Teratogens)
Embryo First Aid 2012
20
Medical
Professional
05/09/2013

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Cards

Term
During what weeks of pregnancy is the baby most susceptible to teratogens?
Definition
weeks 3-8 (embryonic period-organogenesis)
Term
Teratogenic effect of ACE inhibitors
Definition
renal damage
Term
Teratogenic effect of Alkylating agents
Definition

Absence of digits, multiple anomalies

Alkylating agents are a class of chemotherapy drugs that bind to DNA and prevent proper DNA replication

Term
Teratogenic effect of Aminoglycosides
Definition

CN VIII toxicity (deaf)

Aminoglycosides are antibiotics that end in -mycin

Term
Teratogenic effect of Carbamazepine
Definition
Neural tube defects, craniofacial defects, fingernail hypoplasia, developmental delay, IUGR (Intra-uterine growth restriction: really low birth weight)
Term
Teratogenic effect of Diethylstilbestrol (DES)
Definition
Vaginal clear cell adenocarcinoma
Term
Teratogenic effect of Folate antagonists
Definition
Neural tube defects
Term
Teratogenic effect of Lithium
Definition
Ebstein's anomaly (atrialized right ventricle: big right atrium, small right ventricle)
Term
Teratogenic effect of Phenytoin
Definition

Fetal hydantoin syndrome: microcephaly, dysmorphic craniofacial features, hypoplastic nails and distal phalanges, cardiac defects, IUGR (Intra-uterine growth restriction), mental retardation

Phenytoin is an anticonvulsant

Term
Teratogenic effect of Tetracyclines
Definition
Discolored teeth
Term
Teratogenic effect of Thalidomide
Definition
Limb defects ("flipper" limbs)
Term
Teratogenic effect of Valproate
Definition

Inhibition of maternal folate absorption-> neural tube defects

Valproate is an anticonvulsant AND is a mood stabilizer for schizophrenia and bipolar disorder

Term
Teratogenic effect of Warfarin (4)
Definition
Bone deformities, fetal hemorrhage, abortion, opthalmologic abnormalities
Term
Teratogenic effect of Alcohol
Definition
Leading cause of birth defects and mental retardation
Term
Teratogenic effect of Cocaine (2)
Definition
Abnormal fetal development and fetal addiction; placental abruption (placental lining separates from uterus of mother causing heavy bleeding)
Term
Teratogenic effect of Smoking (3)
Definition
Preterm labor, placental problems, IUGR (intra-uterine growth restriction: really low birth weight), ADHD
Term
Teratogenic effect of Iodide (lack or excess)
Definition
Congenital goiter or hypothyroidism
Term
Teratogenic effect of Maternal diabetes (3)
Definition
Caudal regression syndrome (anal atresia to sirenomelia (aka Mermaid Syndrome= fused legs)), congenital heart defects, neural tube defects
Term
Teratogenic effect of excess Vitamin A (3)
Definition
High risk for spontaneous abortions and birth defects (cleft palate, cardiac abnormalities)
Term
Teratogenic effect of X-rays
Definition
Microcephaly, mental retardation
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