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The diagnosis of Down syndrome includes varied congenital conditions that can effect development, growth, cognition, eating and nutrition, speech, language acquisition and use, attention and behavior, memory, and maintenance of skills necessary for independence.

Knowing how to interact with those with Down syndrome can be the difference between guessing what to treat and determining the correct medical interventions.

There are  some behavioral and communication phenotypes that are unique and consistent to those with Down syndrome. Knowing these and how to navigate among them can make  medical visits productive and accurate.