Creases 5 fingers and toes. Able to move all fingers and toes throuh range of motion. Palmar creases Should have 10 fingers. Look for polydactyly and syndactyly . Nail beds should be pink.
Slight blueness is common when extremities are cold.
No simian creases present. Gluteal folds equal symmetrically. Should have 10 toes. Symmetry of legs with equal muscle tone and resistance to opposing flexion. Extremities usually have flexion.