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    Polydactyly, (Supernumerary digit) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Polydactyly, (Supernumerary digit) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Polydactyly, (Supernumerary digit) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook68 pages38 minutes

    Polydactyly, (Supernumerary digit) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Polydactyly, Diagnosis and Treatment and Related Diseases

    Recently I had a female patient whom I observed had 6 fingers on her both hands with an extra small finger.
    Astrologers believed that having a sixth finger brings enormous luck.
    Six fingers in both hands meant that the person will be famous.
    It was one reason why her parents did not remove the extra fingers even though she was teased in school.

    Polydactyly is a disorder in which a person has more than 5 fingers per hand or 5 toes per foot.
    The presence of extra fingers or toes (6 or more) can occur on its own.
    There may not be any other symptoms or disease present.
    Polydactyly is a congenital malformation of the fingers and toes.
    Polydactyly can differ in the degree of severity.

    Polydactyly may range from small skin tissues on the side of the hands to fully developed extra fingers with bone, blood vessels, and muscle tissue.
    Postaxial Polydactyly happens when the extra digit is sited beside the little finger or toe.
    Pre-axial Polydactyly happens when the extra digit is sited near the thumb or big toe.
    Central polydactyly happens when the extra digit is between other fingers or toes.
    Syndactyly is either a complete fusion of fingers or toes or a looser webbing of skin between them.
    Polydactyly and syndactyly are normally isolated disorders, meaning the child will have no other birth defects.
    Both are also found in many complex and sometimes lethal groups of anomalies or syndromes.
    Polydactyly may be passed down in families.
    This trait affects only one gene that can cause several differences.
    Extra digits may be poorly formed and joined by a small stalk.
    This most often happens on the little finger side of the hand.
    Poorly formed digits are normally removed.
    Just tying a tight string around the stalk can cause it to fall off in time if the digit has no bones.
    In some cases, the extra digits may be well-developed and can even function as a normal finger.
    Larger digits may require surgery to be removed.
    Causes
    1. Asphyxiating thoracic dystrophy
    2. Carpenter syndrome
    3. Ellis-van Creveld syndrome (chondroectodermal dysplasia)
    4. Familial polydactyly
    5. Laurence-Moon-Biedl syndrome
    6. Rubinstein-Taybi syndrome
    7. Smith-Lemli-Opitz syndrome
    8. Trisomy 13
    Polydactyly can be produced by the presence of an autosomal dominant trait.
    Because the gene is dominant, when one parent has the gene, each of his or her children has a 50 % possibility of having polydactyly
    Symptoms:
    Children with polydactyly are born with 1 or more extra fingers or toes.
    The extra digit may be:
    1. A small, raised bump or a piece of skin that looks like a small finger or toe that is not fully formed (nubbin)
    2. A complete, working finger or toe
    Diagnosis
    Diagnosis is made during the early physical examination at birth.
    Some children with polydactyly will require radiographs or x rays to find out if there is bone present in the extra digit.
    Treatment:
    In most cases, doctors do away with an extra finger or toe in early childhood.
    The purpose of treatment is to give the child a hand or foot that functions well and looks typical
    There are also practical problems such as excising an extra toe so the child’s foot can fit well into shoes
    Vascular clip
    If the digit is poorly developed and has no bone, occasionally the treatment is as simple as attaching a vascular clip at the base during a clinic visit.
    The clip blocks blood flow to the digit so it will fall off
    Surgery
    If the digit is more fully developed with bones, tendons, nerves and blood vessels, a surgeon surgically excises it in the operating room when the child is about 1 year old.
    This is performed as a day surgery.
    TABLE OF CONTENT
    Introduction
    Chapter 1 Polydactyly
    Chapter 2 Causes
    Chapter 3 Sympto

    LanguageEnglish
    PublisherKenneth Kee
    Release dateSep 6, 2018
    ISBN9780463192955
    Polydactyly, (Supernumerary digit) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Polydactyly, (Supernumerary digit) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Polydactyly,

      (Supernumerary digit)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2018 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Polydactyly, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Polydactyly)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank the patient for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Polydactyly

      Recently I had a female patient whom I observed had 6 fingers on her both hands

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