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Misty Combs, DOB 6/29/94

Features and Characteristics: Hypotonic Spasticity and clonus in feet Non-verbal (speaks several words, but not consistently) Able to follow basic commands Slight strabismus (had eye surgery at 2 ½ years) Nystagmus Open mouth and frequent drooling Very social (likes to be the center of attention) Sleep disturbances Pronated ankles Wide gait with toes pointed out Balance problems Mouthing behaviors (hands in mouth, chewing on blankets) High pallet Large appetite Short stature (below the growth chart in height) Overweight (according to the growth chart in weight) Hyperactive reflexes Mild feeding problems (chokes occasionally on liquid and gags at certain textured foods) Delayed motor skills (sat at 18 months, crawled at 2 ½ years, walked at 3 years, 10 months) Prenatal Concerns: Intrauterine growth retardation Little amniotic fluid left at birth Born via C-section and was breech Testing with negative results: MRI CT-scan EEG Hearing tests Complete chromosome analysis FISH for Prader-Willi syndrome Fragile-X syndrome Amino and Organic Acid Deficiencies Carbohydrate deficient glycoprotein disorder Myotonic Dystrophy

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