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guidebook. - Fanconi Anemia Research Fund

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Glossary<br />

363<br />

Polypharmacy: The practice of administering many<br />

different medicines, especially concurrently for the<br />

treatment of the same disease. 1<br />

Portal hypertension: Hypertension in the hepatic portal<br />

system caused by venous obstruction or occlusion<br />

that produces splenomegaly (abnormal enlargement<br />

of the spleen) and ascites (abnormal accumulation of<br />

serous fluid in the abdominal cavity) in its later stages. 1<br />

Post-prandial: Occurring after a meal. 1<br />

Prenatal diagnosis: Many diseases that involve a<br />

single gene defect can now be diagnosed very early in<br />

pregnancy. Prenatal diagnosis looks at fetal cells in the<br />

mother’s blood, amniotic fluid, or chorionic villi. This<br />

may detect problems while the baby is still growing or<br />

after birth. In late pregnancy, tests may examine blood<br />

from the umbilical cord. 5<br />

Proband: An individual being studied (as in a genetic<br />

investigation). Often the proband is the first affected<br />

family member who seeks medical attention. 1<br />

Puberty: The time during which sexual and physical<br />

characteristics mature due to hormonal changes. The<br />

exact age a child enters puberty depends on many factors,<br />

such as a person’s genes, nutrition, and gender.<br />

During puberty, various endocrine glands produce hormones<br />

that cause body changes and the development of<br />

secondary sex characteristics. In girls, the ovaries begin<br />

to increase production of estrogen and other female<br />

hormones. In boys, the testicles increase production of<br />

testosterone. Breast development is the main sign that<br />

a girl is entering puberty. The first menstrual period<br />

(menarche) usually follows within about two years.<br />

The first sign of puberty in boys is enlargement of both<br />

testicles. 5

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