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Asymmetric Crying Facies (ACF) 08.26.2013

Asymmetric Crying Facies (ACF) 08.26.2013

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Published by Emily Eresuma
Pediatric Morning Report at Primary Children's Hospital
Pediatric Morning Report at Primary Children's Hospital

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Categories:Types, Presentations
Published by: Emily Eresuma on Oct 11, 2013
Copyright:Attribution Non-commercial

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10/11/2013

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MORNING REPORT
 Aaron McCoy, MD, PGY3
 
HPI
Otherwise healthy 4mo female presents for a “crookedsmile.” Per her parents, this has been present since birth.
They feel that her R lower lip droops and her L lips don
topen as wide as they should. This has been a staticproblem.
The rest of her facial movements are felt to be normal.
The asymmetry is most prominent when she is smiling,crying or sleeping.
She has not had a trauma to her face including no forcepsfor delivery.
She has not had any fever or illnesses. There have beenno recent sick contacts in the family.
 
HPI Continued
PMH: Uncomplicated pregnancy and delivery, AGA @39.1, typical nursery course.
FH: No FH of neurodevelopmental problems, geneticproblems or any other childhood illnesses.
SH: Lives in Utah with mom, dad and 3 healthy siblingsage 5,8, and 10. Stays at home with mom during the day.
Medications: None
 Allergies: None

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