Transcription of Table 1. Routine screening for children with Down …
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Table 1. Routine screening for children with Down …
Table 1. Routine screening for children with down Syndrome at different ages Prenatal Birth-1 month 1 month 1 year 1-5 years 5-13 years 13-21 years Counseling regarding prenatal diagnosis results Plan for delivery Referral to geneticist Physical exam for evidence of trisomy 21 with particular attention to cardiac, gastrointestinal and ophthalmologic examinations. Chromosomal analysis to confirm diagnosis Offer genetic counselling - discuss risk of recurrence of down syndrome ECG Prior to discharge after birth Echocardiogram done by a paediatric cardiologist Note that serious cardiac disease can be missed on physical examination. Radiographic swallowing assessment if marked hypotonia, poor feeding, possible aspiration Newborn hearing screen and follow-up Audiology and ENT assessment 6 and 12 months Annual History and examination for duodenal or anorectal atresia If constipated, evaluate dietary intake.
Table 1. Routine screening for children with Down Syndrome at different ages Prenatal Birth-1 month 1 month – 1 year 1-5 years 5-13 years 13-21 years Counseling regarding prenatal diagnosis results Plan for delivery Referral to geneticist Physical exam for evidence of …
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