What is the focus clinical history of Down syndrome?

Updated: Apr 30, 2018
  • Author: Gratias Tom Mundakel, MBBS, DCH; Chief Editor: Maria Descartes, MD  more...
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Answer

When recording the history from the parents of a child with Down syndrome, the clinician should include the following:

  • Parental concern about hearing, vision, delay in growth and development, respiratory infections, and other problems

  • Feeding history to ensure adequate caloric intake

  • Prenatal diagnosis of Down syndrome

  • Vomiting secondary to gastrointestinal tract blockage by duodenal web or atresia

  • Absence of stools secondary to Hirschsprung disease

  • Delay in cognitive abilities, motor development, language development (specifically expressive skills), and social competence

  • Arrhythmia, fainting episodes, palpitations, or chest pain secondary to a heart lesion

  • Symptoms of sleep apnea, including snoring, restlessness during sleep, difficulty awaking, daytime somnolence, behavioral changes, and school problems


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