Kindly go through the patient records and opine. The case summary is as follows: An 18-year-old female came to the OPD with her father with a complaint of pain in lower left back teeth, in addition her father had some concerns regarding her dental aesthetics.
On examination, she had pain and tenderness in tooth no 36. Extra-oral findings: she had a short stature 4 ft 11", mental slowness, little impaired hearing, expressionless face, she was reserved but cooperative, unclear speech, treated for congenital cataract ( I could see reduced translucency of right eye and cloudy ring in the left eye), broad nasal bridge, thick eyebrows, slightly excessive facial hair, absent cheek prominence, maxillary hypoplasia, prominent philtrum, slant in the upper eyelid from the middle to the distal end, reduced breast development, short neck, hyper-extensibility of the thumbs, broad and short bigtoe of…
