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Down Syndrome (GI Issues (Large tongue => difficult latch, TE fistula,…
Down Syndrome
GI Issues
Large tongue => difficult latch
TE fistula
Duodenal obstruction
Hirschprung disease
Imperforated anus
GERD
Prenatal Screening
Ultrasound: may identify correlated anormalities
Fetal echocardiogram: nuchal translucency + associated cardio defects
Serum markers: higher Hgb levels
Amniocentesis: amniotic fluid aspiration
GERD in Children
Signs and symptoms
Unsettled baby
Evidence of frequent regurgitation/ vomiting
Etiology: weak lower esophageal sphincter
At risk of
Esophageal injury
Aspiration
Choking
FTT
Treatment
Small frequent feeds
More upright positioning
Thickened formula
Added carbohydrate content
Decreased vomiting
Increases calories per mL
Difficult to thicken breast milk
PPIs
Overview
Trisomy 21
Error in meiosis phase of germ cell replication
2 risk groups
Over 25 maternal age (highest > 45) d/t aged oocytes
Familial link for chromosomal Robertsonian translocation