First Nations

Question 1

what are physical findings associated with FAS?

Answer 1

microcephaly
cerebral dysgenesis
holoprosencephaly
abnormal corpus callosum…

Question 2

what are maternal factors for FAS

Answer 2

older mothers

amount consumed - > 5 drinks per occasion at least once per week

Question 3

what 4 things are needed to Dx FAS

Answer 3

1. pre and post natal growth def
2. facial features consistent with FAS
3. CNS dysfunction
4. Maternal drinking

Question 4

what facial features are associated with FAS

Answer 4

MICROCEPHALY!!!!!!
short palpebral fissures
absent or hypoplastic philtrum
thin upper lip
hypertelorism
flattened face
short nose
bow shaped mouth

Question 5

how should we manage FAS?

Answer 5

1. prevention - changing attitudes about drinking in teens
   2, ID at risk teen
   3.ID at risk child
2. Start intervention as soon as problem ID
3. make precise dx of FAS so can access services

Question 6

what are lytes abn in vit D def

Answer 6

low Ca absorption
Low Ca

need enough to:
normalize Ca absorption from gut
minimize PTH secreation