PHYSICAL EXAM FINDINGS

Growth parameters (FTT, compare to parents)
         Height
         Weight
         OFC/head shape (microcephaly, macrocephaly)
         Fontanels if present
         Asymmetry present?
Skin
         Texture
         Eczema
         Wood’s Lamp exam
         Café-au lait, hypopigmented areas
         Hemangiomas
         Eczema
         Photosensitivity
Hair
         Texture, color
Facies
         Features like parents?
         Epicanthal folds
         Size/shape ears
         Midface
         Eyebrows
         Chin prominence
         Forehead
Genitalia
Hands/Feet
         Size
         Presence simian creases (hands)
         Clinodactyly?
         Nails
General
         Hepatosplenomegaly
Neurological Exam
         Tone
         ?Spasticity – where located (legs/one sided/general)
         Dystonia/athetoid
         Balance sitting/standing
        
Sensory exam
         Vision
         Hearing
Behavior
         Repetitive behaviors
         Behavior change during exam
         Hand flapping
         Eye contact
         Aggressive
         Activity level for age
Radiologic findings
         Ectopic kidneys, situs inversus
         Skeletal survey, rib number, vertebral shape, etc.
Joints
         Presence of contractures
         Hyperextensibility (wrists, ankles)  ask if doublejointed