Down Syndrome in a 1-Day-Old Girl

Figure>THE CASE:

On morning rounds in the well-baby nursery, a nurse brings your attention to a 1-day-old girl who is having trouble latching on to the breast. You examine the child and note subtle physical anomalies. The child also has a pronounced head lag and a systolic heart murmur.

What physical anomalies point to a genetic disorder-and what genetic disorder do they suggest?

• A. The infant's hands have a single palmar crease and fifth finger clinodactyly.

• B. The infant's feet have a broad space between the toes and a deep plantar crease.

• C. The clinical picture points to Down syndrome.

• D. A, B, and C are correct.

For the answer and discussion log on to . . .

www.ConsultantLive.com/pedsquiz

. . . or look for the answer in the February issue of Consultant For Pediatricians.