TERATOLOGY - DYSMORPHOLOGY

MEDICAL TERMINOLOGY, VISUAL LITERACY, CLINICAL SENSE, and SENSITIVITY


OMNINET – MEDWORD  LLC.
TERATOLOGY – DYSMORPHOLOGY
MEDICAL TERMINOLOGY, VISUAL, CLINICAL, SENSE, SENSITIVITY
COURSES – TUTORIALS
TERATOLOGY - DYSMORPHOLOGY - INTRODUCTION

TERATOLOGY - DYSMORPHOLOGY - DESCRIPTIVE or TOPOGRAPHIC
DESCRIPTIVE

FETAL ALCOHOL SPECTRUM DISORDERS (FASD) and SYNDROME (FAS)* 

Aspects concerning alcoholism and toxicity are not included 
* Caveat – The contents stress clinical signs, and signals and are insufficient to fully sustain intents to diagnose or manage patients.
 
ALCOHOL ANTECEDENTS - HUMANITIES - VISUAL ARTS - ...
   - Unawareness of the Teratogenicity of Alcohol  
   - Impact on morphogenesis - induction of malformations  
   - Sharing with children 
Alcohol inhibiting inhibitions - Incest (ABCDE  
Alcohol inhibiting inhibitions - Sex (ABCDEF) 
Alcohol as a Sedative (Induces sedantary behaviour) 
Alcohol teratogenicity (Induces Teratothanasia, implying pregnancy loss)
Alcohol shared with Children (AB)  

GLOBAL PERSPECTIVE by Dr. K. Warren, Director of the National Institute of Alcohol Abuse and Alcoholism (NIAAA), National Institutes of Health, Bethesda, Maryland. USA – Video (57:50 min)  
Comment: Dr. Warren visited Ukraine to become acquainted with the work and achievements by the OMNI-Net team who implement collaborative investigations as members of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders (CIFASD).

MASTER – CLASSES/LECTURES

Series of Examinations for SIGNS/SIGNALS of FAS/FASD (Semiology)
Professor, Dr. K. L. Jones, University of California San Diego, La Jolla, California, USA. Comment: Dr. Jones is a world known expert on the subject and is considered as one of the first clinicians who reported clinical characteristics of FAS.
Part 1. Prenatal developmental signs at 6 weeks of age. Video (24:44 min)
 
Part 2. Prenatal developmental signs in a child. Video (27:32 min)
Part 3. Signs – Signals - FAS – FASD Video (21:00 min)  
Part 4. Diagnosis of FAS. Video (33:18)

FASD Developmental Outcomes – Professor, Dr. C. D. Coles - Video (31:40) 
Comment: Dr. Coles is a Professor of Psychology of the Emory University in Atlanta, Georgia, USA. She is an internationally recognized expert in the domain of behavioral and learning characteristics and modes of ameliorating negative impacts of prenatal exposures to alcohol. 

IN PRACTICE – DETECTION - DIAGNOSIS - VIRTUAL CLINICS PRACTICUMS   
Professor, Dr. W. Wertelecki, M.D., University of California San Diego, La Jalla, California, USA
Comment: Dr. Wertelecki coordinates FAS and FASD investigations in Ukraine by members of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders CIFASD) sponsored by the NIAA (National Institute of Health on Alcohol abuse and Alcoholism, Bethesda, Maryland, USA) and OMN-Net for Children in Ukraine.
Comment: the following 3 virtual clinics are best interpreted if you have seen prior videos presenting the basics of Dysmorphology (see the DYSMORPHOLOGY section)
Illustrations of Dysmorphology – FAS/FASD? – in practice.   
Video A (18:05 min), video B (15:32), video C (27:31 min).

SIGNS – SIGNALS of Alcohol impacts on MORPHOGENESIS
Comment: The array of signs (phenotype) is highly variable.

BODY SIZE, WEIGHT and GROWTH are virtually always reduced
BODY PROPORTIONS are average EXCEPT the HEAD (see next)
HEAD (Cephalon – Cranium – Capita) most often is reduced. Reduction of 2 or 3 standard deviations below the norms for age and sex are relatively frequent thus indicative of
MICROCEPHALY (clinically documented as reduced OFC (occipitofrontal circumference)
Comment: Clinicians should personally measure OFC during EVERY examination.   

FACIES (seeing is better than a 1000 explanations) – (A), (B), (C), (D), (E), (F), (G)
COMMENT: Arrogance contaminates many – Do NOT be sure that you can diagnose FAS/FASD based solely on a facies, no matter how “typical”. Facies NEVER are 100% diagnostic – facies is just one of many SIGNS that may or may not be a SIGNAL of FAS/FASD. “Look alikes” (Phenocopies)  should be expected as shown below.

FACIES FAS LOOK ALIKE” but … FACIES PHENOCOPY

OCULAR and Peri-OCULAR – MICROPHTHALMIA – SHORT PALBEBRAL FISSURE - …
 

PERIORAL – LIP – PHILTRUM – CUPID’S BOW
Norms (normal) morphology (A), (B).
Abnormal: Upper lip flat; thin vermillion; no philtrum; no Cupid’s Bow ... (A), (B).

CONTINUED - UNDER CONSTRUCTION ...