From: The trisomy 18 syndrome
Area of clinical evaluation | Time | Assessment |
---|---|---|
Growth and feeding | every visit | Use published growth curves, investigate need for enteral nutrition |
Psychomotor and cognitive developmental progress | every visit | developmental delay and referral to early intervention program and PT/OT |
Neurologic exam | every visit | muscular tone abnormalities, seizures, referral to neurology if needed |
Cardiology and echocardiogram | at birth/diagnosis – follow up as needed | congenital heart defect, pulmonary hypertension |
Abdominal ultrasound | at birth/diagnosis - follow up as needed | renal malformation |
every 6 months until adolescence | Wilms tumor and hepatoblastoma | |
Ophthalmology | at birth/diagnosis | eye malformations |
older children | photophobia and refractive defects, prescribe sunglasses as needed | |
Audiology | at birth/diagnosis - follow up as needed | sensorineural hearing loss |
Orthopedic exam | every visit in children older than 2 years | scoliosis |
Gastroenterology | if needed | gastroesophageal reflux, need of enteral nutrition |
Pulmonology | if needed | recurrent pulmonary infections, central and obstructive apnea |
Sleep study | if needed | central and obstructive apnea |