History
The history of the child with a congenital upper limb anomaly should encompass the following key areas:
- age of child
- hand dominance, if any
- progression of deformity since birth
- developmental hand milestones
- previous treatments
- family history; variable expressivity and incomplete penetrance is common and as such, a limb anomaly can skip a generation
- history of pregnancy:
- previous pregnancies:
- stillbirths
- miscarriages
- other anomalies
- exposure to mutagens:
- viral infections
- drug exposure
- duration of pregnancy in weeks
- duration of labour
- position of baby at time of birth eg breech
- posture of the affected limb at the time of delivery
- previous pregnancies:
- general health:
- syndromes
- co-morbidities eg cardiac, respiratory or renal disease
- developmental milestones
- medications
- allergies
- how the family are coping with the diagnosis:
- psychologically
- physically eg existing orthotic devices or home adaptation
Create an account to add page annotations
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.