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MISSION MAY REVISION | Top 50 SYNDROMES IN PEDIATRICS - 1 | Let's Crack NEET PG | Dr Anand Bhatia — Transcript

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0:01hello everyone welcome to Pediatrics for
0:03Dr Anand is my voice audible to everyone
0:05please put a message in comment section
0:07thank you hello everyone
0:10how are you how's everyone going so this
0:14is the beautiful and Academy PC platform
0:16I hope my voice is audible to everyone
0:18thank you in this beautiful and Academy
0:21PC platform first of all my name is Dr
0:24Anand this is the Mars uh this is the
0:26month of the March and the week three we
0:28have this amazing beautiful body called
0:31uh live free test so guys give as many
0:34tests as possible it will be really nice
0:36for you also at the same time in the an
0:38academy we have something known as
0:40unacademy light we have this beautiful
0:42plant coming now for two months because
0:45March is almost coming to an end so
0:47April and May some beautiful plan we
0:49have basically and yes something known
0:51as an academy lights okay that you
0:54should know it's a very beautiful plants
0:55and yes hello hello everyone
1:04most importantly yes we have this
1:07Cardiology test cardiovascular test
1:09which is happening on March 20th and 40
1:12questions 60 Minutes you'll be getting
1:13for that and also in the Anna Academy we
1:16have something known as Plus
1:17subscription something known as iconic
1:19subscription hello hi my new hi Manoj hi
1:22uh hi Julie good to see every one of you
1:25very nice and yes beautiful uh so in the
1:28iconic subscription we have the
1:30unacademy platform and uh what is called
1:33uh prep data subscription that is the
1:35iconic subscription congratulations to
1:37the amazing toppers for The fmg Bash the
1:40people who work so hard uh their names
1:42are there and I I want you all uh you
1:45know to to work really hard for your
1:47exams chakraborty says today sir today
1:49now I'm gonna ask you question in
1:52today's class we're gonna talk about
1:53syndromes I'll be showing you pictures
1:55you have to tell me which syndrome is
1:57this and we're gonna talk some
1:58Associated points of that specific
2:01syndrome okay hello hi happy hi nishin
2:03hello everyone and yes
2:06we have this all Educators review
2:08revision batch which is going amazing
2:10the other batches are we have the fmg
2:12batch then we have the neat PG
2:14subscription I told you the Plus
2:16subscription iconic subscription and the
2:19light the light subscription okay that's
2:22what hi happy hi Nishi hi by the hi Ravi
2:25hello everyone today's third class we're
2:28gonna talk about very importantly
2:29syndromes I'm gonna show you pictures
2:31I'm gonna show you some amazing pictures
2:33you have to tell me which syndrome the
2:35picture fits into an Associated points
2:38of that this session will exactly last
2:41for 30 minutes 11 30 I will stop this
2:43session and we're gonna talk about the
2:45part two of this session tomorrow so
2:47before starting any amazing segment we
2:49always have a motivating course and
2:52today's motivating quote is what comes
2:54easy what comes easy want last long and
2:58what last long won't come easy what do
3:01you think do you agree with this yes or
3:03no yes a very beautiful you know a
3:05thought process so very nicely what
3:07comes easy want
3:10last long and what last long won't come
3:13easy so what will last long your PG seed
3:17will last long forever and that won't
3:19come easy you have to really work hard
3:21for that right come into the first
3:23picture anyone coming to the first
3:25picture what do you think if I if this
3:28picture comes in a neat PC paper what
3:30are you going to write who will tell me
3:32Osama Kamal pradeep giri pragya Nishi so
3:36many people are there today what are the
3:38findings what are the findings basically
3:40Kamal what do you think anyone yes I'll
3:42give you five seconds
3:46exactly very good can we appreciate a
3:49prominent forehead can we appreciate a
3:52prominent forehead number one which is
3:55nothing but known as macro kefali which
3:57is known as macro
4:00exactly then we have very importantly
4:03can you appreciate flushed cheeks
4:06flushed cheeks yes and most importantly
4:09pointed chin pointed chin okay pointed
4:12chin so where do you see macro kefali
4:15with flush cheeks and pointed chin
4:17exactly so yes very true very true Osama
4:20is very right you will see this in
4:22Soto's syndrome you will see this in
4:25Soto syndrome very good Osama very good
4:27so what are the other points can anyone
4:30tell me two extra points of Soto
4:31syndrome macro kefali flesh cheeks and
4:34pointed chin yes I agree with you any
4:37other point any other point of this one
4:39Soto syndrome do you remember large for
4:41gestational Edge baby
4:44syndrome a case of large for
4:46gestationalist baby yes or no yes right
4:48so what is how do you define large for
4:51gestationalists wait for age more than
4:5390th Center you remember right the
4:55causes of large for gestational age
4:57babies are State Bank of India extra
4:59count as for pseudo syndrome B for PEC
5:04with white man syndrome I for infant of
5:07diabetic mother and E4 erythroplastosis
5:10fatalities yes or no Sama so much so
5:13this beautiful picture is nothing but a
5:15case of Soto syndrome Soto syndrome
5:17exactly yes Osama is Right large for
5:20gestation let's just wait forage more
5:22than 90 years very good if I show you
5:24this picture now picture number two
5:26exactly very good chakravarti yeah
5:29picture number two if I show you this
5:31picture what do you think the associated
5:33points are this baby is having Pinna
5:36abnormalities this baby is having Pinna
5:39abnormalities and history of
5:40polyhydramnios what do you think Pinna
5:43abnormal cities and also this baby is
5:45having earlobe creases I'm gonna show
5:47you again very importantly
5:49earlobecreases Pinna abnormalities and
5:53very importantly kind of a large baby or
5:55a big baby what do you think
5:57hypothyroidism
5:59no not hypothyroidism again look at the
6:01baby very carefully abnormalities
6:04history of polyhydramnios and ear lobe
6:07creases the baby is having ear lobe
6:09creases when you says wels and Walker
6:11syndrome if I said this one okay now
6:14looking at this picture who will tell me
6:16anyone by looking at this picture what
6:18can we appreciate who will tell me this
6:20Pinna abnormalities and and anyone any
6:23any random guesses by looking at this
6:24picture yes very good
6:29very very very good this is a case of
6:32Beckwith wide man syndrome this is a
6:35case of back with wide man syndrome what
6:38are the important points of back with
6:40vitman syndrome number one
6:42can we appreciate macro glossia yes very
6:45importantly so can we appreciate macro
6:48glossia then we have micro kefali
6:52macroclosia micro kefali and then we
6:55have the Hemi hypertrophy of Limbs yes
6:58or no Osama
6:59yes Philadelphia says hello hello buddy
7:03what's up
7:05nickel is very good student uh you know
7:08a very good student nowadays he's
7:10answering very well so Hemi hyper trophy
7:12Hemi hypertrophy of films yes or no what
7:15are the other important points exactly
7:17very good so the patient will have very
7:20importantly
7:24hypertrophy of Limbs most importantly
7:27and these babies basically what is this
7:29these baby can have on fallow seal or
7:32these baby can have wilts tumor this
7:34baby can have films tumor can anyone
7:37tell me how do you differentiate on
7:39fallow seal from gastrocysis ushry uh
7:42this one Priya exactly uh how do you
7:45differentiate what if this is on fellow
7:47seal then what is this picture one
7:49second uh what is this picture anyone
7:52a very good Osama very good what is this
7:55picture this is also on fellow seal can
7:57anyone would like to comment on this
7:58picture
8:02exactly when the intestinal contents are
8:05out when the intestinal contents are out
8:08and they are not covered in a sack can
8:10we see the intestinal contents are out
8:12and they are
8:14not covered in a sack this is known as
8:17gastrocysis this is known as
8:19gastrocysis when the intestinal contents
8:22are out and are not covered in a Sac is
8:25known as gastrocysis and when the
8:27intestinal contents are out and they are
8:29covered in a Sac they are covered in a
8:31sack very good this is known as home
8:34fellow seal that is known as omphalo
8:37seal so most important second center of
8:39the findings are like back with vitamin
8:41syndrome the findings are macroglossia
8:44with micro kefali with a
8:46hemi-hypertrophy of Limbs and these
8:49babies can have increased incidence of
8:50on fellow seal
8:52umbilical hernia and women's tumor and
8:55films tumor please put a like button are
8:57you able to understand yes or no
9:00Yasin Priya everyone are you getting it
9:02this class will be exactly for 30
9:04minutes only 10 minutes are over 20
9:06minutes are left okay part two of this
9:08class will do it tomorrow so 30 minutes
9:10as much as possible let's gather more
9:12points what are the other syndromes
9:15Associated or Wilms tumor who will tell
9:17me very common question
9:19what are the syndromes Associated film
9:23streamer one is packed with white man
9:25syndrome everyone knows about it packed
9:26with white men syndrome is associated
9:28with Wilms tumor right what are the
9:30other syndrome associated with Wilms
9:32tumor so most importantly the other
9:34syndrome isosceles tumor are anyone
9:37exactly very good is nothing but Danny
9:40drash syndrome fagger syndrome and back
9:42with white men syndrome are you
9:44understanding very good very good Ahmed
9:46this is sambad yes beautiful beautiful
9:49answer bhavani the syndromes associated
9:51with whims tumor are packed with vitamin
9:54syndrome Wacker syndrome and danidra
9:57syndrome if I talk about vagar syndrome
9:59anyone vagar what is w what is a what is
10:03g and what is r can anyone tell me what
10:06is the full form of vagar syndrome what
10:07do you think
10:13very good so the full form of Wagner
10:15syndrome W for women's tumor a for any
10:19Radia G Foreign
10:30very important full form of Bagger
10:32syndrome I'll repeat again what are the
10:34three important syndromes associated
10:36with the winds tumor the answer is Penny
10:39draft syndrome Wacker syndrome and back
10:41with white man's syndrome so important
10:44points of vagar syndrome W for winds
10:46tumor nephroplastoma okay for any Radia
10:49G for genital urinary abnormalities and
10:52are for retardation mental retardation
10:54that you should know okay next question
10:56if I show you this picture the third
10:58syndrome if I show you this picture can
11:00anyone tell me what are the important
11:01points for this syndrome let me show you
11:03a closer picture
11:06yeah if this picture this is a very nice
11:08picture guys what do you think anyone
11:10anyone yes
11:17very good Kamal is right whether he is
11:20right nishin
11:22and arvind and Osama Sheikh sandal cap
11:27name bro sandal Gap but I'm happy you
11:30tried yes Kamal is right this is nothing
11:33but most importantly have you heard of
11:35rocker bottom feet basically rocker
11:39Bottom Feeders
11:43this is more like a more like a rocker
11:46bottom feed exactly rocker Bottom
11:49Feeders which try show me rocker Bottom
11:51Feeders try so me 18 Trisomy 18
11:55what is the full form of Edward syndrome
11:57like mnemonic we have nothing but r o c
12:00k y Rocky M Rocky m r for rocker bottom
12:05feed o for overlapping digits
12:08overlapping digits okay R for rocker
12:12bottom feed o for overlapping digits C
12:14for cardiac defense k for kidney defects
12:17y for y for micro kefali y for micro
12:22Cafe and M for mental retardation mental
12:26retardation just exactly exactly okay
12:29Osama says
12:32you're working so hard like I'm so
12:34impressed by you you're working really
12:36very very very very hard bro every one
12:39of you guys I tell you two mistakes why
12:42because number one mistakes are a proof
12:44that you are actually trying to clear
12:46the exam and do lot of mistakes here
12:48because the more mistakes you do here
12:50the more you will remember that okay yes
12:53yes I did mistake in the live class okay
12:55I find in the exam I will not do the
12:57mistake so what is the syndrome guys
12:58this is nothing but Edward syndrome
13:00anyone try show me 18 13 and 21 which is
13:03Trisomy 13 and which is trisomy 21 yeah
13:07very good so trisomite 18 is advert
13:10syndrome Trisomy 13 is patau syndrome
13:13very good rhizome 13 is patau syndrome
13:16and Trisomy 21 is Down syndrome trisomy
13:1921 is Down syndrome very good are you
13:21understanding let's say we'll have a
13:22quick revision again again in the
13:24beginning of the syndrome number one we
13:26saw the Soto syndrome very important uh
13:29macro kefali flush cheeks and pointed
13:31chin LGA babies and they will have natal
13:33teeth do you remember guys natal teeth
13:35what are the important causes of natal
13:38teeth
13:39what are does a newborn baby have teeth
13:43no when does the first teeth appear in a
13:45baby
13:48which is the first teeth to appear in a
13:51baby anyone exactly the first teeth are
13:53to appear in a baby is a lower central
13:56incisor which comes by six to seven
13:59months lower central incisor which comes
14:01by six to seven months the if a newborn
14:04baby having teeth the mnemonic was PW es
14:08the mnemonic was p double es anyone do
14:11you remember Osama a newborn baby having
14:13teeth what are the differential
14:14diagnosis P for Pierre Robin syndrome e
14:18for Elise van crew world syndrome
14:21another is epidermolysis bolosa and S
14:24for sotos syndrome Soto syndrome yes yes
14:29exactly
14:31the lower central incisor as the first
14:34one to come the first temporary tea to
14:36appear in a baby is lower Central
14:38anxiety which is the first permanent
14:40teeth to appear in a baby exactly the
14:42first permanent teeth to appear in a
14:44baby is the first molar M1 first molar
14:48when does it come six to seven years so
14:50how will you remember see remember six
14:52to seven months six to seven years the
14:55first temporary teeth to appear in a
14:56baby is comes by six to seven months
14:58that is lower central incisor and the
15:01first permanently to appear in a baby
15:02comes by six to seven years that is the
15:06first molar then also we understood
15:08about back with white band syndrome the
15:09baby can have Pina abnormalities the
15:11baby can have earlobe creases the baby
15:13basically will have a macroglossia with
15:16micro Capelli with Hemi hypertrophy of
15:18Limbs and they have increased incidence
15:20of Wilms tumor or uh whims tumor or on
15:23fallacy or umbilical hernia then this
15:25part is over okay
15:28perfect perfect
15:30yeah then also we covered something
15:32about very important rocker bottom feed
15:34where you see uh in Edward syndrome the
15:37mnemonic is Rocky m r for rocker bottom
15:39feed o for overlapping digits C for
15:42cardiac difference k for kidney defense
15:44y for micro kefali and M for mental
15:46retardation uh Edward syndrome is
15:49Trisomy 18 try Swami 18 so this is
15:51Trisomy 18 this is a rocker bottom I
15:54asked in the previous classes also what
15:55is the meaning of rocker bottom that can
15:58our grandparents use this chair which
16:01has a convexity like that so this only
16:03convex it to the baby's foot will be
16:05having so rocker bottom rocker bottom
16:09okay that you should know okay next
16:11question yeah if I show You Beautiful
16:14video Beautiful video if I show you this
16:16video and I can't even tell me how let's
16:18start this video
16:20what are the findings yeah what is the
16:23finding what is the finding you can see
16:25in the slide who will tell me anyone
16:27what is the finding what is this can we
16:30appreciate that this is there's a uh
16:32what you called exactly yes can we
16:34appreciate there's a space between the
16:35grade two and the second two what do you
16:37call it this is known as sandal Gap this
16:41is known as sandal cap right yes or no
16:44exactly it's not a sandal cap right and
16:46okay let's move further after this video
16:48and once I saw the sandal Gap and what
16:51are the other findings we are appreciate
16:53in this baby let's see this is sandal
16:56cap okay and this one a now this yes
17:00what can be appreciate can anyone put
17:02any point here exactly very good Lakshmi
17:06Kamal Manoj uh to be a better human Khan
17:09and Ravi Sankar Nishi very good very
17:12good people who are applying are hugely
17:14they you get a we will definitely clear
17:16the exam what can we appreciate in this
17:18guys can we have it yes sir no what is
17:21this
17:22can we appreciate I would say uh
17:24epicanthal folds yes or no can we
17:27appreciate epic candle Force number one
17:30can we appreciate depressed nasal Bridge
17:33depressed nasal Bridge
17:37can we appreciative if I draw a straight
17:39line can we appreciate low set years low
17:42set years can we appreciate Sprint
17:47can we appreciate a flat spatial profile
17:51flat facial profile so these are the
17:55amazing amazing points of the Down
17:57Syndrome okay which syndrome it is Down
18:00syndrome Down syndrome very importantly
18:02that's what so I would say and also the
18:05way the baby is looking at you the way
18:07the baby is looking at the father kind
18:09of you can say it's a case of
18:10developmental delay okay do you see
18:13decrease IQ or normal IQ and down
18:15syndrome yes very good you say decrease
18:17IQs very good very good so yes Nisha is
18:20Right Osama bhavani very good everyone
18:23is perfectly right exactly
18:2610 more minutes then this class is gonna
18:28over it was a short class today so yes
18:30the points we can appreciate are number
18:32one very importantly flat facial profile
18:35epicental folds very importantly
18:37depressed nasal Bridge the child is kind
18:40of having a developmental delay very
18:42importantly and also at the same time
18:44which is the most common very important
18:46question which is the most common
18:48Continental heart in Down syndrome the
18:51most common Continental heart and down
18:52syndrome is austrium primum osteum
18:55primum type of atrial septal defect and
18:58the most specific is endocardial
19:00cushioned effect the most specific is
19:02endocardial question effect and the most
19:04common is I would say osteum primum type
19:06of atrial septal defect so down syndrome
19:09this also baby suffering from Down
19:11syndrome the baby will have a can we
19:13appreciate a mouth open and a and a
19:16tongue protruding out like like this
19:20like this tongue will tongue will be out
19:21and mouths will be wide open that you
19:24should know and mongoloids land very
19:26very important guys can anyone tell me
19:29what is the meaning of mongoloids land
19:32what is mongoloid's land and what is
19:35anti-mongoloid slant who will tell me
19:37yes or no fast fast yes what is
19:40slant and what is
19:42anti-mongoloid slang who will tell me
19:44it's a very simple one exactly very good
19:46or Sama is answering so good everyone is
19:49answering amazing so yes upward slanting
19:52of eyeballs very good upward slanting
19:55upward slanting of eyeballs that is
19:59known as mongoloids land
20:06upward slanting of eyeballs is known as
20:09slant very importantly and
20:12downward downward slanting of eyeballs
20:15is known as anti-mongoloids land and in
20:18examples exactly very good Nishi Osama
20:21why the history Sandeep beautiful
20:23mongoloids land example is of course
20:26Down syndrome and anti-mongoloid slant
20:29example is known as syndrome the example
20:31is Treacher choline syndrome yes or
20:34Noonan syndrome Treacher colon syndrome
20:37and what else cry to chat also cry to
20:39chart also you know we have the syndrome
20:42which basically will have a uh
20:45anti-mongoloid slant
20:47perfect very good very good what is this
20:51picture anyone if I show you just this
20:52picture only this picture if comes in
20:55exams what you are you going to write
20:57this can we can we see what is this
20:59anyone exactly this is nothing but Epi
21:02Kanthal fold there's nothing but Epi
21:05cancer folds this is the fold this is
21:08the fold basically over the Epic and
21:10there's a epicanthal folds right very
21:13good Epi can tell fold yes right
21:16epicental fold is a skin fold of the
21:19upper eyelid covering the inner corner
21:22of the eye can we read this line epic
21:24enthal fold is a skin fold of the upper
21:27eyelid it can we see this is the upper
21:29eyelid so if this epic enthal fold is
21:31the skin fold of the upper eyelid
21:33covering the inner cancers covering the
21:36inner Corner covering the inner corner
21:38of the eye and that is known as
21:40epicanthal Force very good perfect
21:43beautiful and down syndrome babies other
21:46thing can what all can be appreciated
21:47shade can we appreciate developmental
21:50delay yes can we appreciate depressed
21:53nasal Bridge yes can we appreciate down
21:55ears or low set years yes right we can
21:58appreciate right uh depressed nasal
22:00Bridge low set here and developmental
22:02delay also can we appreciate eyes yeah
22:04eyes in the eyes one eye was mongoloids
22:07land what is this picture guys can
22:09anyone tell me what is this picture any
22:12question mark what do you think Osama
22:13anyone guess very good very good what is
22:16this picture who will tell me yes
22:19yes this is known as brush field spot
22:23very very important this known as brush
22:26brush field spot in the iris it's
22:29nothing but brush filled spot in the
22:31iris this is known as very importantly
22:33eye finding in a case of down syndrome
22:36brush field spots okay that you should
22:39know so yes brush filled spots in the
22:41iris epicanthal folds and mongoloids
22:44land that also we finished very
22:46importantly yes what is this
22:48what is this guys what is my friends so
22:51says five more minutes and this class is
22:53over exactly uh Gina is Right towns you
22:57know baby can suffer from Alzheimer's
22:58yes they can definitely suffer from
23:00Alzheimer's so this ones are in
23:03curvature of Digit this is known as
23:06clinodecty Leaf is known as clino
23:08tactile in curvature of the digits very
23:11good Julie take it is very right in
23:13curvature of Digit can you see
23:15Continental hypothyroidism in a case of
23:17down syndrome yes the baby can the
23:19babies might metabolism goes very slow
23:21down syndrome babies have lot of
23:23constipation issues also and they can
23:25land up into Continental hypothyroidism
23:27yes clinodectile is right yes congenital
23:30hypothyroidism is rice right and
23:32congenital heart is also is very common
23:34okay yeah ah this is a good question
23:36this is a no good question which is the
23:38most common type of atrial septal defect
23:41if I would say there are two questions
23:42which is the most common type of atrial
23:45septal defect in Down syndrome and which
23:48is the most at a common type of atrial
23:50septal defect in cardiology CVS topic if
23:53I talk about atrial septal defect do we
23:55have any change in the answer here or it
23:57is just the same who will tell me anyone
23:59arvind yes Nishi
24:10yes very good the most common type of
24:13atrial septal defect in a case of down
24:15syndrome is osteum prime
24:18osteum primum type of atrial septal
24:21defect and the most commonest type of
24:23atrial septal defect in cardiology topic
24:26it will be osteum secundum osteum
24:29secondum type of ASD is common in in
24:32normal uh you know cardiovascular topic
24:34of ASD and most common type of ASD in
24:37Down syndrome will be osteum primum
24:40osteum primum type of atrial septal
24:42divide and most commonest type of atrial
24:44septal effect per se if I'm talking
24:46about Cardiology topic and the atrial
24:49separate effect is the topic then the
24:51most commonest type of atrial septified
24:52will be osteum second osteum second that
24:56we should know okay yeah
24:57exactly and down syndrome if you see
25:00this patient can Down syndrome patient
25:02can go to Alzheimer's disease yes yes or
25:04no so yes this Down Syndrome baby can
25:08have Alzheimer most importantly yes the
25:11first and second vertebra basically
25:12Atlanta excel in stability Atlanta
25:17axial sub luxation I would say or
25:20displacement basically is very common in
25:22a case of down syndrome I'll give you a
25:24toffee if you can tell me most important
25:26any other subluxation can we remember in
25:29Pediatrics Atlanta axial subluxation is
25:32there in in Down syndrome any other
25:35sublux session can you can you help me
25:37uh guys yes or no Osama exactly very
25:41good so Atlanta Excel subluxation is
25:43there in Down syndrome and Superior
25:46temporal superhero temporal subluxation
25:49of lens subiro temporal subluxation of
25:52lenses therein Marfan syndrome Marfan
25:54syndrome and remember him remember him
25:57so homocysteine urea will have inferior
26:00medial inferior medial subluxation of
26:03lens I'll repeat again Down syndrome
26:05babies will have Atlanta excess
26:07supplementation of the disc uh Marfan
26:10syndrome will have Superior temporal
26:12subluxation of lens and homocysteine
26:15urea babies will have inferior medial
26:17relaxation of lens and remember which
26:19yes everyone is right the baby can land
26:21up into AML also acute Pro myeloblastic
26:23leukemia M7 also so yeah it can lead to
26:27these problems yes yeah next one yeah
26:30and the Pearl yeah of course everyone
26:31knows about it Down syndrome babies will
26:33have a flat toxic support they will have
26:36a flat occiput they will have a open
26:38wide anterior formula what is the shape
26:41of interior fontanelle and when does it
26:43fuse can anyone tell me fast fast what
26:45is the shape of the anterior font line
26:47when does it fuse exactly very good yes
26:51yes right ammu Prague
26:54very good yes last three minutes left in
26:57this class is over what do you think
26:59guys what is the exactly yeah the shape
27:02of the anterior fontalized diamond shape
27:04number one it fuses by 8 to 18 months
27:07the entire frontal of uses by 8 to 18
27:10months that you should know very good
27:12perfect answer beautiful answer yes so
27:15uh or flat oxyport open wide end
27:19yeah that's true this part is over and
27:22yes what can be appreciate in these two
27:24slides can we appreciate a single Palmer
27:26crease can we appreciate a sandal Gap
27:28very classy very very very classy
27:31picture of sandal Gap and single what
27:34you call single Palmer crease yes very
27:37true and very importantly short head
27:39very importantly short head this is
27:41important
27:43which is the craniosynostasis you will
27:46see in Down syndrome the answer is
27:48brachycephaly can anyone help me and
27:50tell me that brachycephaly this is the
27:53last question and this class is over
27:54it's 11 29 the class was there exactly
27:57for 30 minutes tonight so uh guys
27:59practice
28:01can anyone tell me
28:04is a premature Fusion of which suture
28:07anyone abhimanyu or Sama Sandeep uh yes
28:11Priya farhas yes very good so practice
28:15is exactly Nishi is so right so most
28:19importantly yes you are right uh what
28:21you called if I talk about uh that the
28:23skull basically and various sutures
28:26which are involved guys then this one
28:28this right so we have something known as
28:31metopic suture then we have something
28:34known as coronal suture then we have
28:37something known as uh sagittal suture
28:40and then last one is that this one is
28:42the lambdoid suture right premature
28:45Fusion premature Fusion of the metopic
28:48suture causes anyone
28:50trigonocephaly trigonocephaly premature
28:54Fusion of the metopic suture causes
28:56trigonocephaly premature Fusion of the
28:59coronal suture causes
29:01premature Fusion of the coronal suture
29:04causes anyone prachycephaly right brachi
29:07exactly brachycephaly premature Fusion
29:10of the sagittal suture causes
29:14dolycocephalycocephaly right and the
29:16other name of the liquid is
29:20and last but not the least premature
29:23Fusion of the lambdoid switcher
29:25lambdroid suitable cause
29:27plaguiocephaly plague very good very
29:30good so Sama is answering right Sandeep
29:32is answering and Julie very good yes
29:36these you should know okay I should not
29:38know you should know it has come in
29:40exams so you must know okay remember
29:42this picture is so will be important so
29:44brackets Valley is because of premature
29:47Fusion of coronal suture
29:49is because of sagittal suture and plague
29:54useful is because of lambertoid
29:56lambdoids which are this is very
29:59important craniosynosis and down
30:01syndrome which craniosynosis important
30:04in Down syndrome
30:06brachycephaly brachycephaly is very
30:08common in a case of down syndrome is
30:11very very very common that you should
30:13know and um yeah cruising syndrome also
30:16will have practice well that's true and
30:18among this various craniosynostosis
30:24is very commonly seen the answer will be
30:28Dole the most common one will be
30:31dolicocephaly down syndrome you will see
30:34what you called brachycephalicrosion
30:36syndrome also you will see coronal
30:38suture involved brachycephaly okay
30:40that's it that finishes today's class it
30:42was a quick 30 minutes revision I hope
30:45you guys have liked the class thank you
30:46so much everyone uh you know for this
30:49wonderful participation in the
30:50tomorrow's class we're gonna talk about
30:51a lot of stuff we're gonna talk about
30:53very importantly single bubble sign
30:55double bubble sign triple bubble sign
30:58then also we're gonna talk about other
31:00syndromes like Cruz and syndrome and
31:02many many many other like fetal alcohol
31:04syndrome tomorrow we're gonna talk about
31:06these conditions tomorrow evening we
31:08have a class remember guys from tomorrow
31:10back to back we'll be having exactly yes
31:14yes exactly Osama okay
31:17so tomorrow guys we have a class at 5 15
31:20p.m and then we have a class at 8 30 PM
31:24without fail we have a class at 5 15 pm
31:27on the UN Academy app where we're gonna
31:30talk about this continuation of this
31:32syndrome basically we have 50 syndromes
31:34to cover we have only covered five
31:35syndrome 5 foot 45 syndrome still are
31:38there and 8 30 p.m class also we're
31:41gonna continue the same syndrome class
31:42okay thank you so much everyone for this
31:45wonderful participation exactly yes and
31:48before leaving we always have a
31:49motivating quote and the last motivating
31:52quote for tonight is
32:02okay so please before sleeping think
32:05about this
32:12okay so all this you must have some
32:16motive some crazy motive uh against you
32:19like for your life otherwise
32:22what is the use of living life like that
32:25right so that's what thank you so much
32:27everyone and before leaving just one
32:29line for of a song Because Osama is
32:32requesting same a very old song so um
32:36foreign
32:42[Music]
33:09foreign
33:15thank you everyone for this wonderful
33:17participation and tomorrow we're gonna
33:20talk about other things pragya says sir
33:22please revise Richard Colin syndrome
33:24once
33:24tomorrow evening we're gonna divide
33:27streets recording syndrome just remember
33:29Treacher Collins syndrome
33:31gandhiji said don't see the bad stuff
33:34but those people saw they got koloboma
33:36of the eyelid gandhiji said don't hear
33:38the bad stuff but they heard it they got
33:41what he called by a deafness basically
33:43and ear abnormalities gandhiji said
33:45don't speak the bad stuff but they spoke
33:48the bad stuff they got hypoplasia of the
33:50cheeks or micro Canadia so these are
33:52larger points of Treacher colon syndrome
33:54the mnemonic is
33:55and they were very dominating students
33:58these streets were calling so the
33:59inheritance is autosomal dominant
34:01fashion and tcof1 tcof one gene mutation
34:06thank you so much everyone for this
34:08wonderful participation tomorrow evening
34:095 15 pm and tomorrow night 8 30 PM see
34:13you without fail for the whole next week
34:17thank you bye bye take care

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