Down syndrome monitoring PI https://vpn.nacs.uci.edu/+CSCO+0h756767633A2F2F6A6A6A2E68636...

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When to check for health problems in children with Down syndrome

Possible problem When your doctor or nurse should check

Growth Your child's growth will be checked at each routine check-up, including:
• At the first visit

• At 2, 4, 6, 9, 12, 15, 18, and 24 months; and

• Once a year after age 2 years (until he or she is an adult)

Sleep Starting when your child turns 1 year, your doctor or nurse should ask about your child's sleep habits. Tell your doctor or nurse if your child snores, sleeps in
an unusual position, or does not sleep well. Also, make sure your child has a sleep test by the time he or she turns four.

Thyroid hormones Your child's thyroid hormones should be checked at birth, 6 months, 12 months, and then once a year after that.

Hearing Your child's hearing should be checked at each routine check-up. But it is especially important that hearing be checked:

• At birth

• At 6 months and at least once a year after that

Vision Your child's vision should be checked at each routine check-up. But it is especially important that vision be checked:

• By an eye doctor at 6 months and then every year until age 5

• By an eye doctor every 2 years from ages 5 to 13 years

• By an eye doctor every 3 years from ages 13 to 21 years

Heart Your child's heart should be checked for problems before and after he or she is born. To do this, your doctor will do an imaging test called an ultrasound that
can create images of the heart.

Blood Your child's blood should be checked for problems at birth. Every year from ages 1 to 21 years, his or her blood should also be checked for a blood disorder
called "anemia." To do this, your doctor will order a blood test called a "Hemoglobin."

Muscle and nerve problems At any visit, tell your child's doctor if your child:

• Has any problems walking

• Begins using his or her hands or arms differently

• Has problems controlling his or her bowel or bladder

• Has neck pain or tilts his or her head to one side

• Has muscle weakness

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