Abnormal Development

Question 1

Red Flags for Development? (IMPO)

Answer 1

Asymmetry of movement, up/low tone
Not reaching for objects by 6 months/persistent primitive reflexes by 6 months
Unable to sit unsupported by 12 months
Unable to walk by 18 months → check CK (creatine kinase which is for muscle weakness)
No speech/not pointing by 18 months
Concerns re vision or hearing at any age (squint)
Loss of skills at any age

Question 2

What is Global Developmental Delay (GDD)

Answer 2

• when a child takes longer to reach certain development milestones than other children their age.
• Significant delay at least in 2 areas
  gross/fine motor, speech/language,
  cognition, social/personal, ADL
• Termed Learning or intellectual disability in school age
• Investigations vary widely between centres

Question 3

causes of GDD?

Answer 3

Genetic
Metabolic/Endocrine
Traumatic
Environmental
Cerebral malformations
Complications of prematurity
Infections
Toxins
Unknown

Question 4

Medical Screening in Down’s Syndrome?

Answer 4

Cardiac
Vision
Hearing
Thyroid function
Sleep-related breathing disorders
Growth->charts
Development

Question 5

The older, the delay gets prolonged and pronounced. T/F

Answer 5

T
Harche ghadr bache bozorgtar bashe, zaribe hoshish bishtar b bche nazdiktar mishe

Question 6

Conditions Associated with Cerebral Palsy?

Answer 6

80% is prenatal rather than damage to the brain
Mobility problems, spasticity and orthopaedic problems
Learning difficulties
Epilepsy
Visual/Hearing impairment
Communication difficulties
Feeding difficulties
Sleep problems
Behaviour problems

Question 7

Developmental Delay?

Answer 7

Failure to attain appropriate developmental milestones for child’s corrected chronological age.