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Download Primary Ciliary Dyskinesia
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Primary ciliary dyskinesia Name: Date of Birth: MRN Number: Family Number: Phenotype Present Phenotype Description Neonatal respiratory distress Cough Recurrent sinopulmonary infections Bronchiectasis Chronic otitis media Chronic bronchitis Nasal obstruction Chronic sinusitis Infertility Decreased fertility Malformation of the heart and great vessels Dextrocardia Abnormal anatomic location of the heart Right atrial isomerism Left atrial isomerism Defect in the atrial septum Complete atrioventricular canal defect Ventricular septal defect Tetralogy of Fallot Situs inversus totalis Polysplenia Asplenia Ectopia of the spleen Intestinal malrotation Extrahepatic biliary duct atresia Aplasia/Hypoplasia of the corpus callosum Hydrocephalus Unknown Yes No Primary ciliary dyskinesia ADDITIONAL PHENOTYPING Phenotype Description Phenotype Present Unknown Yes No
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