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Medical History

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 Foetal alcohol syndrome (her biological mother had a drug and alcohol addiction, and is deceased)

 Bilateral mixed hypoacusis/hearing impairment due to sensorineural damage and eustachian tube dysfunction; auditory thresholds of 90 dB in the right ear and 80 dB in the left ear; has worn hearing aids from the age of 8 months but finds these difficult to tolerate

 Pigmentary retinopathy and optic nerve hypoplasia resulting in partial visual impairment

 Osteopenia in the lumbar vertebrae

 Overall growth retardation, with mild intellectual deficit

 Behavioural issues, with occasional aggressive episodes

A Practical Approach to Special Care in Dentistry

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