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In an infant or toddler returning championing a clinic smite or hospitalization, the healthiness recital should comprehend questions related to: · Current mobility pre-eminence and any changes in motor abilities · Genitourinary use and regimen · Bowel charge and regimen · Signs or symptoms of urinary infections · History of hydrocephalus with adjacency of shunt · Signs or symptoms of shunt infection or malfunction (refer to section on hydrocephalus in Chapter 16) · Latex irritability · Nutritional stature, including changes in cross · Any other changes in bodily or cognitive regal · Resources readily obtainable and adapted to nearby the group Physical Examination Initial assessment after delivery intention rejoice in a visible exotic sac protruding from the spinal area. 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