Excerpt from medical history

First name: Danil

Birth date: 26.05.2007

Stayed under the medical treatment: from 25.07.2007

Diagnosis: Q87.1  

KV syndromes resulting from the short growth.

Anamnesis

25.07.2007 – mother 21 years old, healthy; father 38 years old, IIR7IS Polyhydramon, double test N

Delivery vaginal, on 39th week of pregnancy.

Weight – 3040 gr, height – 48 cm, head – 37 cm.

After birth the child was not very active, has muscle hypotonia, hypoglycaemia, does not suck independently. The child was sent to the children's hospital after birth for research and treatment of the hypotonical syndrome.
30.05.-21.06.2007 – the child was in the new-born department for 3 weeks.
On arrival there is no contact with the child. There are no independent movements, the turgor of the skin and the tissue under skin has flown off.
During the first week at the department the child has urosepsis, with a flow of E coli in the urine, treatment zinacef for 10 days.
Has positive dynamics during his stay in the hospital, activeness develops – independent movements with hands and legs, starts to eat by himself. The contact can be established, observes, sometimes smiles. 21.06 – in good health condition, weight 3226 gr, height 54 cm, head 38 cm. 
The child is unvaccinated.
Analyses for the Prader-Will syndrome - 23.07 result positive. ***If you are interested in this child you must read up on his special needs, they are severe.
The child needs neurological rehabilitation and monitoring.

Objective find.

Overall condition satisfactory, the child motorically not very active, mostly observes, looks, has emotions concerning being examined.
The tonus of the muscles has reduced, the reflexes have slowed down. The skin is pale, turgor +/- N. The head is configured, flat on the sides, a big fontanel opened 2 x  2 cm.
Small jowl, high hard palate, grayish hair, Cor tones are clear, rhythmic. Belly is soft, testicles in scrotum.
21.08.2007 - Condition is stable, good positive dynamics after starting feeding through a sonde. Weight growth has risen quickly, the child is more emotional and active.

26.07.2007

Sonographical examination, the ultrasound examination of the surface
tissues, ultrasound (UH) examination of the abdominal cavity.
Subcapsularly in the right lobe of the liver a cyst appears that is approximately the size of 5 cm, the other cyst did not appear. Otherwise the liver has balanced structure, has not grown in size. The position and built of the pancreas are according to the child’s age. The build, size and position of the kidney are normal.

Result: A small cyst (cysts) in the right lobe of the liver. Otherwise the finding is according to norm.

25.07.2007 – D-vitamin 400 TÜ/die

Needs partial feeding through a sonde.

23.08.2007 – The child is hospitalized due to the eating disorders and psychological problems of the mother. Resulting from the main illness the child is strongly hypotonic, there were eating and weight problems appearing during the stay home. In the hospital the child was switched to be fed through a sonde in order to save the child’s energy and to organize the amount of food more effectively.
Prognosis for the future and development of the child is quite good.

When written out of the hospital still partially being feed through a sonde.
A hard muscle hypotonia will remain but is expected to reduce in the future.

Weight 4676 gr.

The child is vaccinated,

D2 vitamin gtt x in home