22q11.2 deletion syndrome physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
History and physical are vital in the diagnosis and assesment of DGS. Most cases get diagnosed in the prenatal and pediatric periods, diagnosis can also occur in adulthood.
Physical Examination
Head
- Palatal abnormalities (69%), particularly velopharyngeal incompetence (VPI), submucosal cleft palate, and cleft palate; characteristic facial features (present in the majority of Caucasian individuals) including hypertelorism.
Ear
Throat
- Laryngotracheoesophageal anomalies
Extremities
- Skeletal abnormalities
Neurologic
- Autism and Autism spectrum disorders
- Seizures (without hypocalcemia)
- Learning difficulties (70-90%)