Down Syndrome
    It is a genetic disorder caused by extra copy of chromosome 21..
Clinical Feature
   Developmentally Delayed child
   Smiling face
   Mental Retardation
   Medial Epicanthic fold
   Flat nasal bridge
   Large 👅 tongue
   Open mouth
   Low set 👂 ear
   Great space between first and second two     sandal sign
  Heart defect (Echo to rule out )
  Pyloric stenosis
  Labs
  Karyotyping to confirm trisomy 21
  Treatment
  Symptomatic