10. Childhood Disorders: Physical Development Flashcards
at what age should a person smile spontaneously?
1 month
at what age should a person smile responsively?
2 mos
at what age should a person work for a toy?
5 m
at what age should a person wave bye-bye?
8m
at what age should a person indicate want by crying/pointing?
10m
at what age should a person play simple games?
12 m
at what age should a person laugh?
2-4 months
at what age should a person turn in response to a voice?
3-7 m
at what age should a person babble, say mama/dada?
7-10m
at what age should a person say mama/dada specifically?
7-14m
at what age should a person have 3 words?
15m
by 18 months, what should a kid be saying/doing?
should have at least 1-2 words at minumum, should want variety in play, should want to interact with caregivers
if a child is nonverbal, what is the differential?
ear/nerve, brain (processing, stroke, autism spectrum), genetic problems
autism is an impairment of what areas?
communication, social interactions, with preference for non-functional repetitive actions, decline in imaginative play
ratio of boys:girls with autism?
4:1
what is Rett syndrome?
uncommon cause of autistic behavior. Xlinked gene, only found in girls (fatal for males)
what is the impact of an older father on ASD?
fathers >40y are 6x more likely to have a child with autism than fathers <30y
DSM4 criteria for autistic disorder?
6 items total from a list: at least 2 impairments in social interaction, at least 1 impairment in communication, at least 1 stereotyped/repetitive pattern of behavior
a few items from the physical exam that could suggest autism spectrum disorder
macrocephaly, exaggerated facial features, difficulty with attention or hyper/hypoactivity, toe-walking or poor coordination
A young mother brings in her 20 month old son who is not walking yet. Are you concerned?
Yes, even not walking at 18 months is concerning
At what age should a person be able to lift head 45 deg?
0-3 m
At what age should a person be able to lift chest and head up with arm support?
3-5m
At what age should a person be able to roll over?
2-5m (though wide range; depends on how fat!)
At what age should a person be able to sit freely?
6-8m
