approach to child with developmental delay Flashcards
developmental delay definition
failure to attain appropriate developmental milestones for a childs corrected chronological age
patterns of abnormal development
- delayed which can be global or specific
- deviation: e.g autism spectrum disorder
- regression: retts syndrome and metabolic disorders
uk population born with autism spectrum disorder
1%
uk population born with a mild learning disability
1-2%
mild learning disability is an iq
less than 70
uk population with a severe learning disability
0.3-0.5%
severe learning disability is an iq
less than 50
u population with a specific learning disability
5-10%
red flags for developmental
- asymmetry of movement
- loss of skills
- concerns re hearing and visions
- failure to reach for objects by 6 months
- failure to sit up unsupported by 12 months
- failure to walk by 18 months
- failure of speech by 18 months
for any child who fails to walk by 18 months
check creatinine kinase levels
global developmental delay
significant delay in 2+ of gross motor/ fine motor, speech/ language, cognition or acivites of daily living
in school age children global developmental delay is known as
learning disability
down syndrome also known as
trisomy 21
presentation of downs syndrome
- heart
- joints
- craniofacial findings
cardiac manifestations of down syndrome
- atrioventricular septal defect
- ventricular spatial defect
- patent ductus arteriosus
- tetralogy of falot
