Table 3. [Recommended Evaluations Following Initial Diagnosis in Individuals with Hand-Foot-Genital Syndrome]. - GeneReviews®

System/Concern	Evaluation	Comment
Musculoskeletal	Physical exam & radiographs of hands & feet	To evaluate for abnormalities that may affect function
Renal	Urologic assessment of bladder, ureter function, urethral competence & position	Incl renal ultrasound & VCUG for UPJ obstruction
Gynecologic	Gynecologic exam prior to menstruation or pregnancy. Eval may incl ultrasound, hysterosalpingogram, hysteroscopy, sonohysterogram, MRI, or other imaging studies.	For evidence of incomplete müllerian fusion, longitudinal vaginal septum, or extremely small hymenal opening Such studies could be accomplished at the same time as urologic imaging.
Other	Consultation w/clinical geneticist &/or genetic counselor

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