170 likes | 302 Views
Genetics and Genomics: Alert, Ask, and Act – Identifying the 10% in your practice. Hopkinson , I. Presentation at reality not hype: the new genetics in primary care, 2004. One in 10 patients seen in primary care has a disorder with a genetic component. Genes and disease.
E N D
Genetics and Genomics:Alert, Ask, and Act – Identifying the 10% in your practice
Hopkinson, I. Presentation at reality not hype: the new genetics in primary care, 2004. One in 10 patients seen in primary care has a disorder with a genetic component
Genes and disease Peptic ulcerDiabetes Schizophrenia Haemophilia Duchenne muscular dystrophy Tuberculosis GENETICENVIRONMENTAL Scurvy Spina bifidaIschaemic heart diseaseAnkylosing spondylitis Phenylketonuria RareGenetics simple CommonGenetics complex
Multiple closely related people with the same condition • Disorders that occur at a younger age than usual (egcolon cancer, breast cancer, dementia) • Sudden cardiac deaths in people who seemed healthy • Three or more pregnancy losses • Medical problems in children of parents related by blood • Congenital anomalies, dysmorphic features and developmental delay General clues
www.geneticseducation.nhs.uk Clinical information for specific conditions
What information should you collect? • Information depends on the context and reason for collecting: • Establish biological relationships • Clarify the medical conditions that people have • Three generations • For each person: • Full name • Date of birth (or age) • Date of death (or age died) • Medical information (age at diagnosis)
How should the information be recorded? • Longhand notes • Family history form • Family tree
Reassure • Knowledge of the condition • Local/national referral guidelines • Refer • Refer to guidelines • To the GP or clinical genetics service • Seek further advice • Trusted sources of information • Clinical Genetics Department On-Call Service
Genomics • The ‘genome’ • The genetic make-up of a living thing • Genomics in healthcare may involve the genome of: • a person • a pathogen • a tumour
Uses of genomics • Personalising disease management • Predicting drug responses • Diagnosing infections and tracking epidemics • Producing therapies to target genetic alterations Understanding the basis of diseases Refining diagnoses