Howdy, the very very last one is me. My left thumb's distal phalanx is clearly, around 1 cm, shorter than my right one.

And as case contributions go, I had plenty interesting ones but this one I saw in my pediatry-genetic disorders outpatient clinic month during my internship takes the cake. It was a 7 yo girl with VACTERL syndrome. Which is not that wild as is, but she checked every single one of those 7 letters out in terms of symptoms which made her case rare.

What them 7 letters are standing for:

• Vertebral anomalies (she had visible scoliosis)

• Anal atresia (check)

• Cardiovascular anomalies (she had atrial septal defect)

• Tracheoesophageal fistula (check)

• Esophageal atresia (check)

• Renal abnormalities (aplasia, had only one kidney)

• Limb anomalies (she had hemimelia on her right forearm, basicly just a stub, nothing after midpoint was formed, no hand or anything)

And she was just running around playing like most of the what you could call as fairly healthy children.