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3,271 Possible Causes for Dull Facial Expression, Poor Feeding, Wide Space Between the First and Second Toe

  • Down Syndrome

    Marked hypotonia or other feeding difficulties should prompt a radiographic swallowing assessment.[] A wide space, often with a deep fissure between the first and second toes, is also common.[] Tachypnea, feeding difficulties, and poor weight gain may indicate heart failure.[]

  • Dubowitz Syndrome

    feeding.[] 1st and 2nd toes Gap between first and second toe Increased space between first and second toes Sandal gap between first and second toes Wide space between 1st, 2nd toes[] Abdominal/Gastrointestinal characteristics can include poor feeding, frequent vomiting, chronic diarrhea, and/or gastroesophageal reflux .[]

    Missing: Dull Facial Expression
  • Congenital Hypothyroidism

    Primary Care Management Upon Notification of the Screen Contact the family and evaluate the infant for poor feeding, lethargy, jaundice.[] The symptoms of congenital hypothyroidism may include the following: Puffy face Coarse facial features Dull look Thick protruding tongue Poor feeding Choking episodes Constipation[] The child may also have: Poor feeding, choking episodes Constipation Dry, brittle hair Hoarse cry Jaundice (skin and whites of the eyes look yellow) Lack of muscle tone ([]

    Missing: Wide Space Between the First and Second Toe
  • Dementia

    The use of enteral tube feeding for patients with advanced dementia who have poor nutritional intake is common.[] “For most people, that’s a very poor quality of life,” Dr. Mitchell said.[] Feeding is such a primal activity, the first thing we do when someone is born and one of the last sources of pleasure as death approaches.[]

    Missing: Wide Space Between the First and Second Toe
  • Mental Retardation

    feeding and failure to thrive in infancy.[] Although these life-expectancy estimates are higher than those for similar children who require tube feeding, the overall outlook for survival is nevertheless poor.[] Neonatal factors associated with mild mental retardation included neonatal history of infections and neonatal feeding difficulties ( table 2 ).[]

    Missing: Wide Space Between the First and Second Toe
  • Juvenile Myxedema

    Neonatal hypothyroidism, called cretinism, is associated with mental retardation, jaundice (yellowing of skin), poor feeding, breathing difficulties, and growth problems.[] Symptoms Feeding difficulties Somnolence Lethargy Low frequency of crying Constipation Signs Large fontanelles Myxoedema - with coarse features and a large head and oedema[]

    Missing: Wide Space Between the First and Second Toe
  • Myasthenia Gravis

    These newborns may have poor tone, respiratory depression and poor feeding.[] This delayed presentation should be kept in mind when evaluating newborn infants in the ED for weakness or poor feeding.[]

    Missing: Wide Space Between the First and Second Toe
  • Myxedema

    As the disease progresses, infants are likely to have trouble feeding and may fail to grow and develop normally.[] The patient loses facial expression, and an appearance of imbecility is quickly observed.[] They may also have: Constipation Poor muscle tone Excessive sleepiness When hypothyroidism in infants isn't treated, even mild cases can lead to severe physical and mental[]

    Missing: Wide Space Between the First and Second Toe
  • Myotonic Dystrophy

    Myotonic dystrophy type 1 (MD1) is the commonest muscular dystrophy found in adults; however, it may present in the neonatal period with hypotonia, talipes, poor feeding,[] . • Infants with the severe neonatal form of DM1 present with hypotonia, generalized weakness, respiratory insufficiency, and feeding difficulties at birth. • Other potential[] Congenital myotonic dystrophy is a severe form of this disorder, characterized by neonatal muscle hypotonia, feeding difficulties, respiratory muscle weakness, and an increased[]

    Missing: Wide Space Between the First and Second Toe
  • Sporadic Goitrous Cretinism

    A baby presenting with severe CH lasting more than 4 to 6 weeks may present with poor feeding, constipation, lethargy or excessive sleeping and hoarse cry.[] Thyroid agenesis; Goiter HEENT: Large posterior fontanel; Noisy breathing; Nasal stuffiness; Macroglossia Neuro: Hypothermia; Lethargy; Hypotonia Cardiac: Bradycardia Growth: Poor[] feeding; Delayed growth; Delayed skeletal maturation Abdomen: Abdominal distention; Umbilical hernia Skin: Dry; Puffy Voice: Hoarse cry GI: Prolonged physiologic hyperbilirubinemia[]

    Missing: Wide Space Between the First and Second Toe

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