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Genogram. Dr. Abdul Sattar Khan MBBS, MPH, MCPS, DCHM, MRCGP (UK), FRIPH (UK) Assistant Professor Family Medicine Department drsattarkhan@gmail.com. At the end of this course participants will be able to; Explain the concepts of family Describe the genogram
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Genogram Dr. Abdul Sattar Khan MBBS, MPH, MCPS, DCHM, MRCGP (UK), FRIPH (UK) Assistant Professor Family Medicine Department drsattarkhan@gmail.com
At the end of this course participants will be able to; • Explain the concepts of family • Describe the genogram • List the components of a genogram • Discuss the indications for a genogram • Describe the family circle Objectives ASK
Haemophilia Osteogenesis imperfecta Peptic ulcerDiabetes Duchenne muscular dystrophy Club footPyloric stenosisDislocation of hip Tuberculosis GENETICENVIRONMENTAL Scurvy Spina bifidaIschaemic heart diseaseAnkylosing spondylitis PhenylketonuriaGalactosaemia The contributions of genetic and environmental factors to human diseases RareGenetics simpleUnifactorialHigh recurrence rate CommonGenetics complexMultifactorialLow recurrence rate ASK www.geneticseducation.nhs.uk
Family ASK Family is defined as the structural & functional unit of the community. Two related persons live together for> 6 months. Nuclear family= parents +- children. Extended family= couples + parents + children. FAME
A genogram is a symbolic picture of your family. It shows important dates and characteristics of your siblings, parents, grandparents, cousins, aunts, uncles, and other relatives. Also called Genetic Map and sometime Family Tree Definition ASK
Some common symbols for Genogram # X # X Male Female Deceased Deceased Marriage Line Living Together F A Separated Adopted Foster Divorced ASK Un-Born Child
The components of a genogram • Should contain 3 or more generations • All family members • Birth dates or ages • Death dates and reasons • Significant diseases • Members sharing the same housing • Marriages and separations • All children starting first one from the left • Key to the symbols used • Ergonomic components ASK
Is it important? • Allows fast evaluation of the family • Helps to communicate with other health professionals • Turns the patient into a bunch of information • Allows comparison of risk factors with other parameters • Allows early detection of high risk patients • Useful in the patient education ASK
Family Circle • It’s a way to see the behavioral relationships within a family from the perspective of a family member. • The patient is asked to show family members starting from the closest one. • All family members, friends, even pets should be shown on the circle. • Date of the drawing should be mentioned. The family circle may be repeated after some time. ASK
Indications for genogram • Recurrent medical problems • Uncooperative patients • Somatization • Psychosomatic disorders (anorexia, obesity, asthma, diabetes…) • Family problems (separation, divorce…) • Substance abuse ASK
Hints for Building Your Genogram http://www.smartdraw.com/specials/genealogy.asp ASK
Wake up call ASK What is family? Define Genogram? What are components of genogram? What are the benefits of genogram? What are indications for genogram? What is family circle? FAME