RASopathies

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* 2. Respondent's Name Initials

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* 3. Patient's Year of Birth

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* 4. Patient's Sex

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* 5. Does patient have a sacral dimple?

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* 6. Does patient have gait changes/leg weakness?

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* 7. Does patient have tight Achillies tendon?

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* 8. Does patient have hand/foot deformities?

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* 9. Does patient have constipation?

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* 10. Does patient have leg pain?

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* 11. Does patient have coordination issues?

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* 12. Does patient have bladder or bowel incontinence?

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* 13. Is patient clumsy/increased clumsiness?

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* 14. Does patient have frequent falls/leg collapse?

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* 15. Does patient have muscle atrophy?

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* 16. Does patient have an odd stance?

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* 17. Does patient have back pain?

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* 18. Does patient have frequent headaches?

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* 19. Does patient have scoliosis?

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* 20. Does patient have rigid legs/spasticity?

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* 21. Does patient have tuft of hair on lower back?

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* 22. Does patient have a fat pad on lower back?

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* 23. Does patient have frequent UTIs?

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* 24. Does patient have lumbar lordosis?

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* 25. Does patient have spasticity in arms?

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* 26. Is patient suspected of having Tethered Cord syndrome?

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* 27. Has patient had an MRI for suspected Tethered Cord syndrome?

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* 28. Has patient had urodynamic testing?

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