By Aubrey Milunsky, Jeff M. Milunsky
Highly recommended within the Obstetrics and Gynaecology class of the 2010 BMA clinical publication Competition
Brand re-creation of the world's best textual content on prenatal diagnosis
This 6th variation of Genetic problems and the Fetus keeps it truly is pre-eminence because the significant repository of proof approximately prenatal analysis. It offers a serious research and synthesis of proven and new wisdom according to the lengthy event of specialists of their respective fields. A wide overseas viewpoint is gifted via authoritative contributions from authors in eleven international locations. All chapters and guidance were up-to-date to mirror modern perform. New chapters were brought on:
- The use of chromosomal microarrays in prenatal diagnosis
- The social, felony and public coverage concerns with precise connection with foreign approaches
- The vital peroxisomal and similar fatty acid oxidation disorders
Extensive tables and transparent illustrations help in differential prognosis, gene identity and diagnostic modes. the popularity of many new and unresolved demanding situations may still offer idea for novel learn projects. The counsel supplied and the insights and views of those authors make this quantity a necessary and fundamental source for all whose concentration is securing fetal wellbeing and fitness via prenatal diagnosis.
Genetic issues and the Fetus: analysis, Prevention and Treatment is an important source for all engaged in prenatal genetic analysis, specifically obstetricians, maternal-fetal drugs experts, clinical geneticists, genetic counsellors, and pediatricians, but additionally many different specialties.
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Additional info for Genetic disorders and the fetus: diagnosis, prevention, and treatment
442 The involvement of close relatives is key to the counseling needs in this type of situation. 446 A family history of a genetic disorder The explicit naming of a specific genetic disorder when the family history is being discussed facilitates evaluation and any possible testing. Difficulties are introduced when neither family nor previous physicians have recognized a genetic disorder within the family. g. factor V Leiden deficiency) but nevertheless unrecognized. 447, 448 For some families, individuals with quite different apparent clinical features may, in fact, have the same disorder.
16 Genetic Disorders and the Fetus with certainty the ultimate development of an individual so affected (see Chapter 5). In the course of a prenatal diagnostic study, blood samples from both parents may be called for to elucidate a potential diagnostic dilemma. On occasion, such studies unexpectedly reveal nonpaternity. Not sharing this information with the patient’s husband may subsequently have legal implications. The management and resolution of such a problem will most often rest on the nature of the dilemma (for example, translocation, deletion) to be solved.
Seventeen cancers in different organs in family members may not be recognized as manifestations of the same common mutation. In hereditary nonpolyposis colon/rectal cancer, various family members may suffer from cancers of the uterus, ovary, stomach, small bowel, or ureter. Analysis of the five culprit genes in the proband would enable detection of the mutation, which could then be assayed in other family members at risk. In another example, there may be two or more deceased family members who died from “kidney failure,” and another one or two who died from a cerebral aneurysm or a sudden brain hemorrhage.