Sindrome de Down. Caso Clinico

UNAM Facultad de Medicina Departamento de Embriología Síndrome de Down Dr. Gildardo Zafra de la Rosa Dra. Laura Gabriela Flores Peña

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Presentación Pacientes femeninas Recién nacidas Productos de la primera gesta, de embarazo gemelar

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Antecedentes perinatales Embarazo normoevolutivo USG normales Resuelto a las 36 SDG mediante cesárea

Gemela A: Peso 2450 gr.

Gemela B: Peso 2730 gr.

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Padecimiento Actual

Lo inician al nacimiento al detectar hipotonía y dismorfias faciales

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Exploración física Cráneo: 

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Pequeño Occipital aplanado.

Cara: 

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Perfil facial plano, Ojos oblicuos, con epicanto e hipertelorismo Puente nasal amplio y plano Pabellones auriculares de implantación baja con

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Fisuras palpebrales oblicuas

Puente nasal amplio y plano

Nariz achatada

Pabellones

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Epicanto interno

Hipertelorismo (aparente)

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Exploración física Abdomen: 

Diastasis de rectos

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Clinodactilia del quinto dedo Dedos cortos

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Exploración física Piel: 

Laxa y marmórea

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Paraclínicos Estudio citogenético con Bandas G:

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