27: Pediatric Myopathies & Development Flashcards

1
Q

four domains of pediatric development + quick description

A
  1. gross motor: large muscle movements
  2. fine motor: smaller everyday object movement
  3. language: receptive and expressive; verbal and nonverbal
  4. cognitive, social, emotional, behavioral: attachment and interaction with others, self-regulation
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2
Q

which of the four domains of pediatric development is most important in discussing myopathies?

A

gross motor movement

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3
Q

when should a bb be able to hold chin up in prone position

A

2 months

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4
Q

when should a bb be able to roll over from front to back

A

4 months

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5
Q

when should a bb be able to sit without support (briefly)

A

6 months

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6
Q

when should a bb be able to pull to stand

A

9 mo

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7
Q

when should a bb be able to stand without support

A

12 mo

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8
Q

when should a bb be able to run?

A

2 years

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9
Q

when should a bb be able to pedal a tricycle + climb stairs with alternating feet

A

3 year

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10
Q

when should a bb be able to balance on one foot

A

4 years

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11
Q

DDST-II

A

assesses four major domains of development by questions/assessments at well child visit

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12
Q

M-CHAT-R

A

questions that focus on personal/social and language domain of development, helps with dx autism and conditions under the umbrella of Pervasive Developmental Delay

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13
Q

weakness vs hypotonia

A
  1. Weakness: decreased voluntary/active muscle movement against resistance
  2. hypotonia: decreased muscle tone
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14
Q

secondary things that develop with DMD

A

cardiomyopathy, gastric hypo-mobility, respiratory decrease

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15
Q

Gower maneuver is a sign of? (general)

A

severe proximal muscle weakness

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16
Q

CMD: Congenital muscular dystrophies

A

hypotonia and severe symmetric muscle weakness at birth/early infancy

17
Q

other sx of CMD that may occur

A

joint contractures, malformations of eyes/brain, cardiomyopathy

18
Q

genetic pattern for almost all CMDs

A

AR

19
Q

what does elevated CK usually mean?

A

muscle damage

20
Q

how to use GGT in pts with a suspected mypathy

A

GGT has a high concentration in the liver - if it is elevated, its likely a liver issue (if normal, CK correctly IDs a muscle issue)