VACTERL syndrome

• Facts:
  Refers to the abnormalities in structures derived from the embryonic mesoderm
• History / PE:
  V - Vertebral anomalies
  A - Anal atresia
  C - Cardiovascular anomalies
  T - Tracheoesophageal fistula
  E - Esophageal atresia
  R - Renal and/or radial anomalies
  L - Limb defects
• Differential Diagnosis:
  Klippel Feil syndrome
  Goldenhar syndrome
• Risk Factors:
  Diabetic mothers