Handbook of Genetic Counseling/Dysmorphic Features - Hypotonia

Dysmorphic Features - Hypotonia Preparation Call Cytolab and see if FISH for Prader-Wili was ever ordered for client. Introduction Contracting What are your concerns? I know that when we talked you mentioned the difficulty in feeding that he experienced before. Is there anything else? I've read your chart and looked over the information you told me over the phone, but pretend I don't know anything and tell me why you are here today. Review family history Review medical history Physical exam Answer any questions/ order any tests Review family history Review medical history Mom, how long were you in the hospital following birth? Was the client "floppy" at birth? Can you describe the floppiness and when it began to improve What doctors does the client see? Neurology…how often and last visit? Pediatrician Is the client on any medications? Has the client ever had PT, ST, OT? Has the client ever been involved in an Early Intervention program? Physical exam Explain what findings mean/what tests will be ordered Describe what we think may be going on Any genetic conditions (prader-wili) multifactorial inheritance sporadic events Wrap up session Answer any questions mom might have Set up method of returning results to mom Set up follow-up appointment? Get referrals per instructions from Dr. Notes The information in this outline was last updated in 2000.