### Patient: Doctor, I have been experiencing some symptoms lately. My shoulders are swollen and I have a lump in my knee. I also bite my nails a lot and have been bedwetting. Lastly, I feel a lot of pressure in my pelvic area.
### Doctor: Based on your symptoms, it is possible that you are suffering from Patau syndrome. This is a genetic disorder that causes a range of physical and cognitive difficulties, including swelling in the joints, developmental abnormalities, and difficulty controlling bodily functions. We will need to run some tests to confirm the diagnosis and determine the best course of treatment.