Down Syndrome in a 1-Day-Old Girl
On morning rounds in the well-baby nursery, a nurse brings your attention to a 1-day-old girl who is having trouble latching on to the breast. You examine the child and note subtle physical anomalies. The child also has a pronounced head lag and a systolic heart murmur.
Figure>THE CASE:
On morning rounds in the well-baby nursery, a nurse brings your attention to a 1-day-old girl who is having trouble latching on to the breast. You examine the child and note subtle physical anomalies. The child also has a pronounced head lag and a systolic heart murmur.
What physical anomalies point to a genetic disorder-and what genetic disorder do they suggest?
- A. The infant's hands have a single palmar crease and fifth finger clinodactyly.
- B. The infant's feet have a broad space between the toes and a deep plantar crease.
- C. The clinical picture points to Down syndrome.
- D. A, B, and C are correct.
For the answer and discussion log on to . . .
www.ConsultantLive.com/pedsquiz
. . . or look for the answer in the February issue of Consultant For Pediatricians.
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