Chromosome is where the heart is
By Justin Vader, MD, ACP Resident/Fellow Member
Answers to clues are placed horizontally in rows to reveal an answer written vertically. Unlike the familiar acrostic puzzle format, the final answer can be in any column.
2) Normally 136-145 mEq/L
3) Stands out as a sign of muscular dystrophy
4) Togavirus ________’nyong
5) HACEK target
6) Viscera to the layman
Find in the vertical columns: Eponymous syndrome characterized by short stature, webbed neck, hypertelorism, chest deformities, and autosomal dominant inheritance (Puzzle grid)
Answer: Noonan syndrome
(Puzzle answer) Noonan syndrome is a disease that can be passed down through families (inherited). It causes abnormal development in many parts of the body. Noonan syndrome used to be called Turner-like syndrome.
Noonan syndrome is an autosomal dominant condition linked to defects in several genes. Symptoms include delayed puberty, down-slanting or wide-set eyes, hearing loss (varies), low-set or abnormally shaped ears, mild intellectual disability in about 25% of cases, ptosis, short stature, small penis, undescended testicles, unusual chest shape (usually pectus excavatum), and a webbed and short-appearing neck. (Source: National Library of Medicine, online.)
Internist Archives Quick Links
What will you learn from your Annals Virtual Patient?
Annals Virtual Patients is a unique patient care simulator that mirrors real patient care decisions and consequences. CME Credit and MOC Points are available. Start off with a FREE sample case. Start your journey now.
Internal Medicine Meeting 2015 Live Simulcast!
Unable to attend the meeting this year? On Saturday, May 2, seven sessions will be streamed live from the meeting. Register for the simulcast and earn CME credit after watching each session. Watch it live or download for later viewing.