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Download Syndromic Congenital Heart Disease
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Syndromic congenital heart disease Name: Date of Birth: MRN Number: Family Number: Phenotype Present Phenotype Description Abnormality of the cardiac atrium Abnormality of the atrial septum Abnormality of the ventricular septum Abnormal atrioventricular connection Abnormality of cardiac ventricle Abnormality of the aortic valve Abnormality of the pulmonary valve Abnormality of the tricuspid valve Abnormality of the mitral valve Abnormality of the pulmonary vasculature Abnormality of the coronary arteries Abnormality of the aorta Right atrial isomerism Left atrial isomerism Cardiomyopathy Arrhythmia Abnormal anatomic location of the heart Increased nuchal translucency Small for gestational age Large for gestational age Failure to thrive Short stature Tall stature Microcephaly Macrocephaly Abnormal facial shape Intellectual disability Abnormal respiratory motile cilium physiology Polysplenia Asplenia Ectopia of the spleen Intestinal malrotation Unknown Yes No Syndromic congenital heart disease ADDITIONAL PHENOTYPING Phenotype Description Phenotype Present Unknown Yes No
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