Genogram
Dr. Abdul Sattar Khan
MBBS, MPH, MCPS, DCHM, MRCGP (UK), FRIPH (UK)
Assistant Professor
Family Medicine Department
drsattarkhan@gmail.com
Objectives
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
The contributions of genetic and environmental factors to
human diseases
Haemophilia
Osteogenesis imperfecta
Duchenne
muscular dystrophy
Peptic ulcer
Diabetes
Club foot
Pyloric stenosis
Dislocation of hip
GENETIC
Tuberculosis
ENVIRONMENTAL
Spina bifida
Ischaemic heart disease
Ankylosing spondylitis
Phenylketonuria
Galactosaemia
Rare
Genetics simple
Unifactorial
High recurrence rate
Common
Genetics complex
Multifactorial
Low recurrence rate
www.geneticseducation.nhs.uk
Scurvy
Family
• 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.
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FAME
Definition
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
Some common symbols for
Genogram
#
#
Male
Female
X
X
Deceased Deceased
Marriage Line
Living Together
Separated
A
F
Adopted
Foster
Divorced
Un-Born Child
The components of a genogram
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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
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Is it important?
1. Allows fast evaluation of the family
2. Helps to communicate with other health
professionals
3. Turns the patient into a bunch of information
4. Allows comparison of risk factors with other
parameters
5. Allows early detection of high risk patients
6. Useful in the patient education
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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.
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Indications for genogram
1.
2.
3.
4.
Recurrent medical problems
Uncooperative patients
Somatization
Psychosomatic disorders (anorexia, obesity, asthma,
diabetes…)
5. Family problems (separation, divorce…)
6. Substance abuse
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Hints for Building Your Genogram
http://www.smartdraw.com/specials/gen
ealogy.asp
Wake up call
•
•
•
•
•
•
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?
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FAME