For example, if the diagnosis is made based on the abnormal appearance of the ears and developmental delay, it is important to check the child's hearing, vision, heart, nose, and urogenital system. Once the diagnosis is made based on clinical signs, it is important to investigate other body systems that may be involved. Rather, the diagnosis can be made based on clinical features alone. CHARGE syndrome is a clinical diagnosis, which means genetic testing is not required in order to make the diagnosis. Insurance companies sometimes do not pay for such genetic tests, though this is changing rapidly as genetic testing is becoming standard across all aspects of medicine. The test is available at most major genetic testing laboratories. Genetic testing for CHARGE syndrome involves specific genetic testing for the CHD7 gene.
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