Physical exam for fetal alcohol spectrum disorder (FASD)The physical exam for a baby or child who is suspected of having
FASD will include: - Measurements of height, weight, and size of the
head. These will be plotted on a graph to compare them with normal ranges for
the child's age group. Children with FASD are smaller and shorter than other
children their age.
- Evaluation of facial features. Not all babies
and children with FASD have the characteristic features: a small face, narrow
eye openings (slits), a short upturned nose, a flattened groove between the
nose and the upper lip (philtrum), and a thin upper lip. These features may not
be present or may be subtle and easy to miss in a baby. The facial features, if
present, become more noticeable by the time the child is about 2 to 3 years of
age.
- Examination of the child for signs of birth defects related
to alcohol exposure, such as heart defects and hearing
loss.
- Examination of the nervous system. The doctor will look for
signs of problems with the
central nervous system, such as tremors, irritability,
and attention problems.
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