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[quote=Anonymous][quote=Anonymous][quote=Anonymous]
But there are ways to document prenatal alcohol exposure even if the "mom comes in [and] swears she didn't drink." See the third picture above. [/quote]

I don't know what you mean by third picture above, but by "physical evidence" I mean either signs on the child (e.g. small philtrum, wide set eyes) or physical evidence that the mother has abused alcohol (e.g. a blood test taken while she was pregnant).  Without either of those, or verbal report, or I guess maybe an eye witness, I have never seen them diagnose FASD.[/quote]

The pictures referenced are near the bottom of page 7. The first is the flow diagram of diagnosis (abbreviated), the middle one is a very long and blurry list of the various diagnostic criteria, and the last is the accepted means of documenting prenatal alcohol exposure without the relating of it directly by the mother.

There could be a lot of reasons why you might not have seen the full range of diagnostic methods. The people you have watched might have been using outdated criteria, or they might not have specified all of the thought process, or you might not have seen children evaluated who fell outside the criteria you expected but still within guidelines, or there might be political or therapeutic reasons for a given practitioner, or what have you. Nonetheless, these are all accepted ways to make the diagnosis.

It's complicated, and even moreso now that it was 15 years ago.[/quote]

I am confused.  As I read it the charts still say that you need either to see physical features on the child OR something that supports the idea that the mother drank during pregnancy.  The chart on page 4, if you follow the pathway that leads from symptoms to no documented exposure, to no dysmorphology, you get "other diagnoses" which implies that kids who hae neither of those things don't get the diagnosis.  But then you say that there are kids who have neither of those things but are still within the guidelines.  Can you tell me where those kids are on the chart?  Or is there another chart?  
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