Yes I Need Some Help With A Patient. I Am

Yes I need some help with a patient. I am a social counselor with a special needs program. I have a 2 year female weighing 66 pounds. She is on a 45 gm of carb diet daily. Does not drink milk and doesnt eat sweets. She has genetic problems, hypotonic legs, kidney reflux, duane syndrome. She has not been diagnosed with an endocrine issue but is seeing an endocrinologist. However the endo is not doing any kind of blood work that I am aware of. We are in the process of switching endo's. Do you have any suggestions as to what could be causing her problems or what she could possibly have going on? She also can't run, jump or climb Thanks