So are you saying I cant spot genital warts from a picture? I cant spot and tell the diffrence between a stage 1,2,3 and 4 decub from a picture? Kid, you can tell alot from a picture and you dont need a medical history. Hell, I could tell you the diffrence between a bilaterlsalipingooopherectomy and a hysterectomy with a few good photos. Bottom line, people with Downs Syndrome have a VERY distinct facial structure. This is a easy indicator of the disease process. But for you to say I cant tell someone with Downs Syndrome from a picture is ignorant. This is a fact of the disease and while it is true that this kid may be one in a trillion that has the exact facial structure of a DS patient and doesnt have the disease, its not very likely. If you learned much in your class you would know at least 2 thing. One, the likelyhood of this kid having DS is about 99.9, so you making a post about needing medical history is just pointless and a waste of time. Two, a person with a BS Nursing is pretty qualified to make a statement such as this. True I could be lying about my education, but well then again we could be living in the matrix. Im fit, lit, and sure as hell aint taking no shit. I LOVE this movie. Have a good night and ask your high school teacher if you can tell a person with DS from their facial structure. Seriously, if they say no, GET OUT OF THEIR CLASS. Seriously... Off to bed for me, lot of shopping to do tom. wish me luck. Kid you seem smart, hope it takes you far. Learn from everyone you can, I still do everyday.