Problem: A 36-year-old woman with little prenatal care delivers a 3900g girl. The infant has decreased tone, upslanting palpebral fissures, epicanthal folds, redundant nuchal skin, fifth finger clinodactyly and brachydactyly and a single transverse palmar crease.
1. What is most likely diagnosis?
2. What is the net step in evaluation of infants with dysmorphic features?
3. What are the different physical features and problems associated with this syndrome. Differentiate from other common trisomy conditions
4. How will you counsel and support the family with a special-needs child