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Congenital Heart Diseases Case Studies

Superior Essays
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- Congenital Heart Defect (patent ductus arterious/pda)
- Asthma
- GERD – G-tube feeding
- Dysphagia
- Mixed receptive -expressive language disorder
- Allergic to Bactrim
- Palatal Talon Cusps
- Bilateral Epicanthal folds

Subjective findings
- Prematurity
- Lack maternal pre-natal care
- Non- progressive /unproductive labor (delivered via C- Sec)
Objective findings
- Impaired development in all areas
- Poor sense of balance, coordination, and motor planning
- Limited endurance to gross motor activities
- Delayed protective reactions

Discussion
Screenings questions were addressed related to current asthma condition, unilateral renal agenesis, ear infections, ambiguous genitalia, hypospadias, GERD and G-tube feeding along with past surgical …show more content…
Intrinsic knowledge of primary and secondary medical diagnosis, review of systems, along with strong understanding of past and current medical history and medications are crucial in the management of this client, including potential impact on therapy program. Comprehensive neurophysiologic and developmental strategies are mandatory in the treatment of RTS and Isodicentric 15 (Battaglia, 2008).
On a personal note, this little boy is a pleasure to treat. Parents are active participants in the treatment of their child. Gradual improvements have been observed along the PT intervention. We are committed to optimize his …show more content…
(2006). Rubinstein – Taybi syndrome. European Journal of Human Genetics, 14, 981-985. doi: 10.1038/sj.ejhg.5201594 Kieg, K.G. (1990). Neurodevelopmental Disorders Associated with Chromosome 15. Jefferson Journal of Psychiatry, 8 (2).

Milani, D., Manzoni, F.M.P., Pezzani, L., Ajmone, P., Gervasini, C., Menni, F., & Esposito, S. (2015). Rubinstein -Taybi syndrome: Clinical features, genetic basis, diagnosis, and management. Italian Journal of Pediatrics, 41 (4). doi: 10.1186/s13052-015-0110-1

Miller, R.W. & Rubinstein, J.H. (1995). Tumors in Rubinstein – Taybi syndrome. American Journal of Genetics, 56 (1), 112-115. doi: 10,1002/ajmg.130560125

Ozcelik, B. & Atila, B. (2011). Bilateral palatal talon cusps on permanent lateral maxillary lateral incisors: A case report. European Journal of Dentistry, 5 (1), 113-116.

Petrij, F., Dauwerse, H., Blough, R., Giles, R., van der Smagt, J.J., Wallerstein, R., . . . Breuning, M. (2000). Diagnostic analysis of the Rubinstein – Taybi syndrome: Five cosmids should be used for microdeletion detection and low number of protein truncating mutations. Journal of Medical Genetics, 37 (3), 168-176. doi: 10.1136/jmg.37.3.168

Roome, D. (2016). What in the world is RTS? Charleston, SC: CreateSpace

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