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Suspicion of Down's syndrome in a child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Genetics
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   What does a PRT axis of 68 210 59 indicate in an infant suspected of a heart murmur?
Doctor :   Hi,
Doctor :   Dr XXX here
User :   Hi there
Doctor :   There is a axis or direction in 3 dimensions to atrial contraction
User :   My son was born with several anomalies...sacral tuft, 11 sets of ribs, heart murmur, undescended testes, and simian crease only on left hand...I am trying to understand all this
Doctor :   ok, this appears to be a syndrome
Doctor :   the Prt u asking about helps to know the contraction mechanism of the heart
User :   But which one? No dr has answered this
User :   what do you mean by contraction mechanism? I have the EKG in frontof me
Doctor :   The Degree readings you gave me indicate the minor malfunctioning in the atrial contraction
Doctor :   contraction of the heart, atria being the part
Doctor :   any abnormal contraction leads to a murmer
User :   Have you ever seen all this defects in a newborn? What are the possible causes? My older child is perfectly normal
Doctor :   but the EKG reading has to be clubed with clinical findings to come to a interpretation
Doctor :   such readings can even be normal in infants , as the heart is not completed and the heart rate will be above normnal
User :   Is there a particular syndrome with these symptoms?
Doctor :   hence along with the clinical examination will be able to help what exactly causing the murmer and whether it is normal or not
Doctor :   its gives me a clue of a chromosomal anomaly
User :   what causes this?
Doctor :   what was your age at the child birth ?
User :   32
Doctor :   age more then 30 in mothers will be prone for such a pregnancy
User :   could an antidepressant taken during the first 3 months have caused this?
Doctor :   it is called DOWN's syndrome
User :   but the doctors are not saying downs syndrome
Doctor :   no, i do not consider that the cause in this case
Doctor :   Can you tel me the diagnosis the doctors made ?
User :   they have not made a diagnosis....just that he has multiple congenital anomalies
Doctor :   ask them about DOWNs. there a series of tests which will rule out Downs syndrome
User :   has had major problems with constipation and ear infections
Doctor :   XXX DOWNS syndrome and learn the features and compare with your child
User :   okay...thank you
Doctor :   yes, such problems can be presented, simian crease is one most typical presentation
Doctor :   in downs
User :   are you really a dr? cause I could have XXX that and found that out
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Diseases and Conditions
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