Her heart has a regular sinus rhythm with a loud split second sound. Her back is straight. She has a lower lumbar fat pad and no dimple is present. Genitalia are female. She has an anteriorally placed rectum with a very inefficient sphincter.
Extremities are all moveable.
Joints are hyperextensible. Her cranial nerves are intact. All of her skills are below age level. Muscle mass is normal. Muscle tone is decreased as is strength.