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This Concept Map, created with IHMC CmapTools, has information related to: Jayden, Brianna (Mom) ???? Unplanned Pregnancy Polydactlyly (Extra finger) Healthy, 6 weeks ???? able to leave the hospital, = conception Jayden, 5 days old Few days IV fluids and enteral feedings (formula, breast milk, supplement, cholesterol), Low levels unconjugated estriol ???? genitourinary symptoms?, Abnormal quad screen results Normal levels Inhibin-A, cHG, AFP, 1 Day old Few Days Tube Feeding Necessary due to Lack of Muscle Tone, ???? ???? Extremities: left hand polydactyly. Bilateral 2nd and 3rd toe syndactyly., statin (inhibits HMG-CoA reductase eliminates Will not finish final step in cholesterol synthesis Precursors will build up potentially toxic, 15 days old ???? 4 weeks old, 5 days old ???? Breath w/o assistance, Ursodeoxycholic acid is a bile salt, Genetic Consult Confirmed Suspicion Congenital defect of cholesterol biosynthesis, Father (kind of a nice guy) Doesn't love his baby Agreed to provide a blood sample for genetic testing. He maintained his position that he did not want to be involved in the baby’s care, but was willing to contribute financial support for the infant., converts 7- dehydrocholesterol to cholesterol defect results in elevated 7DHC and 8DHC, 1 Day old Few Days 5 days old, 1 Day old given Formula + Supplements NG tube, converts 7- dehydrocholesterol to cholesterol defect results in low cholesterol, Post-natal Admitting physical exam Admitting physical exam: General: Term infant on warmer with NCPAP in place. Dysmorphic features, 7-dehydrocholesterol reductase Mutated Will not finish final step in cholesterol synthesis Precursors will build up potentially toxic