Dr checklist birth to 1 month

I suggest you give a copy of this list to your pediatricain.
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Health Care Guidelines for children with Down syndrome
Neonatal (Birth to 1 month)
Based on 1999 Down Syndrome Health Care Guidelines
Down Syndrome Quarterly (Volume 4, Number 3, September 1999, pp 1-16)

Review parental concerns. Chromosomal karyotype; genetic counseling, if necessary.
If vomiting or abscence of stools, check for gastrointestinal tract blockage (duodenal web or atresia or Hirschsprung disease)
Evaluation by pediatric cardiologist in cluding echocardiogram. Subacute bacterial endocarditis prophylaxis (SBE), in susceptible children with cardiac disease.
Exam for plethora, thrombocytopenia.
Review feeding history to ensure adequate caloric intake.
Thyroid function test, check on results of state mandated screening at birth.
Auditory brainstem response (ABR) or otoacoustic emission (OAE) test to assess congenital sensorineural hearing (at birth or 3 months).
Pediatric opthamological evaluation (by 6 months) for screening purposes.
Discuss value of early intervention (infant stimulation) and refer for enrollment in local program.
Referral to local Down Syndrome parent group or family support and resources, as indicated.

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		I suggest you give a copy of this list to your pediatricain. Print This Page Health Care Guidelines for children with Down syndrome Neonatal (Birth to 1 month) Based on 1999 Down Syndrome Health Care Guidelines Down Syndrome Quarterly (Volume 4, Number 3, September 1999, pp 1-16) Review parental concerns. Chromosomal karyotype; genetic counseling, if necessary. If vomiting or abscence of stools, check for gastrointestinal tract blockage (duodenal web or atresia or Hirschsprung disease) Evaluation by pediatric cardiologist in cluding echocardiogram. Subacute bacterial endocarditis prophylaxis (SBE), in susceptible children with cardiac disease. Exam for plethora, thrombocytopenia. Review feeding history to ensure adequate caloric intake. Thyroid function test, check on results of state mandated screening at birth. Auditory brainstem response (ABR) or otoacoustic emission (OAE) test to assess congenital sensorineural hearing (at birth or 3 months). Pediatric opthamological evaluation (by 6 months) for screening purposes. Discuss value of early intervention (infant stimulation) and refer for enrollment in local program. Referral to local Down Syndrome parent group or family support and resources, as indicated.