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by hands
lines on a notebook, grids on graphing paper, and the hands of a clock
Here is a web page that will answer alot of questions.. but for a fast answer.. look at the hands and feet.. The lines of the hands and feet, does the child have only one line across their hands. Most have three, hope that helps.. http://theglp.com/glp_down_syndrome.html
The lines impressed into the palms of your hands look like IV and VI in Roman numerals and their values are 4 and 6 respectively. What's so strange about them is they are symmetrical and they add up to 10 which equals the amount of digits on your hands.
Theorem 3.9. If two lines are perpendicular, then they intersect to form 4 right angles. You would do a proof by using your hands.