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Dysmorphic Features - Hypotonia

PreparationEdit

Call Cytolab and see if FISH for Prader-Wili was ever ordered for client.

IntroductionEdit

ContractingEdit

What are your concerns? I know that when we talked you mentioned the difficulty in feeding that he experienced before. Is there anything else?
I've read your chart and looked over the information you told me over the phone, but pretend I don't know anything and tell me why you are here today.
Review family history
Review medical history
Physical exam
Answer any questions/ order any tests

Review family historyEdit

Review medical historyEdit

Mom, how long were you in the hospital following birth?
Was the client "floppy" at birth?
Can you describe the floppiness and when it began to improve
What doctors does the client see?
- Neurology…how often and last visit?
- Pediatrician
Is the client on any medications?
Has the client ever had PT, ST, OT?
Has the client ever been involved in an Early Intervention program?

Physical examEdit

Explain what findings mean/what tests will be orderedEdit

Describe what we think may be going onEdit

Any genetic conditions (prader-wili)
multifactorial inheritance
sporadic events

Wrap up sessionEdit

Answer any questions mom might have
Set up method of returning results to mom
Set up follow-up appointment?
Get referrals per instructions from Dr.

NotesEdit

The information in this outline was last updated in 2000.

This material has been imported fom the wikibook "Genetic counseling"[ http://en.wikibooks.org/wiki/Genetic_counseling] under the GNU Free Documentation License.

Permission is granted to copy, distribute and/or modify this document under the terms of the GNU Free Documentation License, Version 1.2 or any later version published by the Free Software Foundation; with no Invariant Sections, no Front-Cover Texts, and no Back-Cover Texts. A copy of the license is included in the section entitled "GNU Free Documentation License."