Table VII.

Suggested Evaluations and Health Surveillance/Treatment for Dup7

System	Initial Evaluation	Surveillance/Treatment
Genetic	Evaluate parents for duplication	Provide genetic counseling
Neurological	Neurological examination MRI of the brain Physical therapy evaluation Occupational therapy evaluation	Monitor head circumference Treat seizures Physical therapy for Developmental Coordination Disorder Occupational therapy if needed
Psychological/Psychiatric	Developmental evaluation Neuropsychological evaluation Gold-standard autism evaluation	Treat ADHD, Anxiety, ODD Autism treatment if needed
Speech and Language	Speech-language evaluation	Speech therapy for Speech Sound Disorder, language therapy if language disorder is present
Endocrinological	If short stature is present, test for growth hormone deficiency	Monitor growth
Cardiovascular	Evaluate for PDA Echocardiogram measurement of the aortic root and ascending aorta with calculation of Z scores	Yearly echocardiogram, but more frequently if aortic dilation is detected
Gastrointestinal	Evaluate for constipation	Aggressively treat constipation
Genitourinary	Renal ultrasound Evaluate for cryptorchidism	If renal malformation is present in a female, evaluate Mullerian structures

Abbreviations: ADHD = attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDA = Patent ductus arteriosus