53 Clients:
29 females, 24 males
Average age of birth: 1993
Surveys completed in 2001

SKIN:

• Red face rashes: 25%
• Small nails: 38%
• Brittle nails: 26%
• General hirsutism: 23%
• Café au lait macules: 19%
• Pygmentary dysplasia: 11%
• Moles: 36%
• Chalazion: 6%

• Prominent ears: 87%
• Low set ears: 42%
• Prosteriorly Rotated Ears: 21%
• Pre auricular dimple: 15%
• Malformed pinnae/ears: 40%
• Blue sclerae: 51%
• Long palpebral fissures: 81%
• Lower palpebral eversion: 49%
• Arched eyebrows: 70%
• Lateral thinning: 47%
• Thick eyelashes: 72%
• Ptosis: 45%
• Droopy skin under eyes: 15%
• Long philtrum: 23%
• Trapezoid philtrum: 9%
• Short nasal septum: 34%
• Flat nasal bridge: 64%
• Broad nasal root: 34%
• Epicanthus: 38%
• Mandibular hypoplasia: 17%
• Retrognathia: 19%
• Micrognathia: 26%
• Overcrowding of Teeth: 19%
• Widely spaced teeth: 55%
• Missing teeth: 62%
• Irregularly spaced teeth: 51%
• Many cavities: 13%
• Cleft lip: 4%
• Cleft palate: 19%
• Highly arched palate: 79%
• Submucosal cleft palate: 21%
• Bifid uvula: 21%
• Velopharyngeal incompetence: 25%
• Low posterior hairline: 38%
• Clogged tear ducts: 25%
• Pili torti: 8%
• Nasal tone to speech: 53%
• Small head size: 40%

• Sleeps w/ eyes open: 68%
• Divergent squint: 19%
• Strabismus: 47%
• Nystagmus: 11%
• Esotropia: 19%
• Exotropia: 8%
• Amblyopia: 30%
• Corneal Abnormalities: 9%
• Near sighted: 26%
• Far sighted: 30%
• Cleft optic nerve: 0%
• Coloboma of the iris: 0%
• Coloboma of the optic nerve: 2%
• Optic nerve atrophy: 0%
• Micro-opthalmia: 2%
• Astigmatism: 21%
• Cataracts: 0 %
• Lens Abnormalities: 4%

• Hearing Loss - Conductive: 32%
• Hearing Loss - Sensorynueral: 28%
• Hearing Loss - Progressive: 11%
• Perforated Ear Drums: 40%

• Respiratory Infections: 43%
• Narrow Windpipe: 2%
• Pulmonary Lymphangiectasia: 2%
• Tracheomalacia: 4%
• Laryngo Malacia: 4%
• Asthma: 11%
• Reactive Airway Disease: 9%
• Broncho Pulmonary dysplasia: 2%
• Bronchiectasis: 6%

• Heart murmur: 49%
• Interrupted aortic arch: 0%
• Coarctation of aorta: 11%
• Ventricular septal defect (VSD): 25%
• Atrial septal defect (ASD): 15%
• Patent ductus arteriosus (PDA): 6%
• Double outlet right ventricle: 2%
• Wolff-Parkinson-White Syndrome: 2%
• Aortic valve abnormality: 8%
• Tetralogy of fallot: 2%
• Pulmonary artery atresia: 0%
• Mitrial valve abnormality: 4%
• Aortic hypoplasia: 2%
• Hypoplastic left heart syndrome: 0%
• Long QT syndrome: 0%
• Pulmonic valve abnormality: 2%
• Anomalous pulmonary venous return: 2%
• Transposition of great vessels: 0%
• Atrium abnormalities: 0%
• Single ventricle: 0%
• Subclavian vein abnormailities: 0%
• Arrhythmia: 6%

• Poor Sucking: 75%
• Difficulty coordinating breathing, sucking and swallowing: 60%
• Gags / Vomits while eating: 64%
• Projectile vomiting: 34%
• Low esophageal tone: 19%
• Regurgitation: 23%
• Reflux: 42%
• G-Tube: 26%
• Horizontal Stomach: 0%
• Enlarged liver: 8%
• Eventration of the diaphragm: 11%
• Hernias: 21%
• Intestinal absorption anomalies: 15%
• Malrotation of intestines / colon: 4%
• Imperforate anus: 4%
• Constipation: 47%
• Extreme pain while stooling: 25%

• Electrolyte Imbalance: 8%
• Structural renal abnormalities: 26%
• Blocked kidney: 8%
• Missing kidney: 2%
• Extra kidneys: 4%
• Pelvic kidney: 6%
• Fused kidneys: 0%
• Horseshoe shaped kidney: 8%
• Enlarged kidney pelvis: 8%
• Cross fused ectopic kidneys: 2%
• Hydronephrosis of kidneys: 13%
• Dual collection system: 8%
• Kidney stones: 4%
• Bladder Reflux: 11%
• Bladder infections: 11%
• Double urinary tract: 0%
• Urethral reflux: 6%
• Urethral abnormalities: 9%
• One undescended testes: 8%
• Two undescended testes: 8%
• Wide set nipples: 25%
• Umbilical cord abnormalities: 21%
• Small penis: 13%
• Hypospadias: 6%
• Labial adhesion: 6%

• Small stature: 74%
• One side of body smaller than other: 2%
• Decreased muscle tone: 85%
• Decreased muscle strength: 62%
• Increased range of joint motion: 68%
• Dislocating joints: 25%
• Osteoporosis: 0%
• Delayed bone growth: 23%
• Arthritis: 2%
• Craniosynostosis: 13%
• Coronal synostosis: 0%
• Metopic synostosis: 0%
• Jaw dislocations: 4%
• Missing ribs: 4%
• Other rib anomalies: 4%
• Pectus carinatum: 4%
• Pectus excavatum: 19%
• Other sternum anomalies: 4%
• Scoliosis: 19%
• Kyphosis: 9%
• Cervical spine deformities: 6%
• Tethered cord: 0%
• Other spine anomalies: 17%
• Hip dislocations: 21%
• Hip dysplasia: 25%
• Subluxed hips: 17%
• Kneecap dislocations: 13%
• Missing knee ligament: 2%
• Clinodactyly: 47%
• Short 5th finger: 60%
• Short phalanges: 47%
• Extra finger or toes: 0%
• Webbed finger or toes: 2%
• Flat footed: 45%
• Club foot: 2%
• Pronated feet: 25%

• Head Control: 7 months
• Roll: 14 months
• Sit: 12 months
• Pull to Stand: 18 months
• Walk: 26 months
• First Words: 24 months
• Feed Self: 38 months
• Dress Self: 60 months (5yrs)
• Pull On Socks: 63 months (5+yrs)
• Button: 85 months (7+yrs)
• Zipper: 89 months (7+yrs)
• Tie Shoes: 110 months (9+yrs)
• Toilet Trained Daytime: 52 months (4+yrs)
• Toilet Trained Evenings: 68 months (5+yrs)
• Hop on One Foot: 75 months (6+yrs)
• Skip: 77 months (6+yrs)
• Pedal: 68 months (5+yrs)

• Signing: 19%
• Communication Boards: 11%
• Gestures: 25%

• Tantrums: 34%
• Extremely hard to calm down when crying: 40%
• Excessive need to know routine: 55%
• Likes Routine: 74%
• Minimal interaction with others: 32%
• Very social: 57%
• Poor eye contact: 57%
• Obsessive over some things: 55%
• Happy disposition: 87%
• Extremely sensitive: 47%
• Excessive need for affection: 26%
• Excessive need for constant praise for motivation: 28%
• Self injurious behaviors: 19%
• Talks to self: 53%
• Repeats certain phrases/words over and over: 45%

• Intellectual disability: 77%
• Excellent memory: 62%
• Attention Deficit: 42%
• Dyslexia: 6%
• Hyperactivity: 30%
• Visual Motor Integration Delay: 51%
• Sensory/Motor Integration Delay: 58%
• Auditory Processing Difficulty: 34%
• Motor Planning Delay: 57%
• Gross Motor Delay: 83%
• Hypotonia/floppiness: 85%
• Hypertonia/Muscle stiffness: 8%
• Dyspraxia of hands: 19%
• Jaw winking: 9%
• Synkinesis: 8%
• Walks with wide based Stance: 40%
• Fine Motor Delay: 91%
• Speech Delay/no Speech: 75%
• Uses signing: 23%
• Stuttering: 9%
• Seizures: 30%
• Muscle Spasms: 15%
• Body Temp abnormalities: 23%
• Recurrent fevers of unknown origin: 13%
• Needs less sleep: 19%
• How long does client sleep at night: 10 hours
• Wakes up Often: 36%
• How Often per Night: 3 times/night
• Apnea: 15%
• Hydrocephalus: 2%
• 3rd ventricle brain cyst: 2%
• Other brain abnormalities: 11%
• Neural tube defect: 2%
• Spinal bifida Occulta: 4%
• Dimple or sinus in tailbone/sacral area: 42%
• Facial palsy/weakness: 13%
• Excessive drooling: 43%
• Delayed toilet training: 75%
• High pain threshold: 51%

• Decreased Spatial Awareness: 51%
• Tactile defensive: 72%
• Chews on non-food items: 66%
• Food aversions: 60%
• Very selective in diet: 68%
• Decreased body awareness: 58%
• Sensitivity to loud noises: 57%
• Self stimulatory behaviors: 47%

• Growth Hormone Deficiency: 9%
• Short stature: 64%
• Obesity: 15%
• Failure to Thrive: 58%
• Hypothyroidism: 2%
• Hypoglycemia: 8%
• Hyperinsulinism: 0%
• Polyglandular AutoImmune Disease: 0%
• Diabetes: 0%
• Full Areolae: 13%
• Premature Thelarche: 21%
• Precocious Puberty: 6%
• Early Menstruation: 2%
• Irregular Menstruation: 4%

• Immune Thrombocytopenic Purpura: 6%
• Petechiae: 6%
• AutoImmune Hemolytic Anemia: 4%
• Anemia: 9%
• IgA deficiency: 4%
• Hypogammaglobulinemia: 4%
• Immune Deficiency: 13%
• Allergies: 34%
• Frequent infections: 64%
• What type: 53% ear, 28% respiratory, 2% eye, 8% gastro, 4% urinary
• Ever require hospitalization for infections: 34%

• Finger pads: 77%
• Increase of ulnar loops: 23%
• Absence of digital triadius c: 4% (many 'unknowns')
• Absence of digital triadius d: 2% (many 'unknowns')
• Increase of hypothenar loops: 6% (many 'unknowns')

• Has Client been seen by a Specialist in this area?: 96%
• Chromosomal analysis done?: 83%