Assessing Developmental Delays Flashcards
1
Q
Ways to assess development
A
- Parent’s questionnaire
- Well-child check
- Denver II
2
Q
Developmental delay vs. Intellectual Disability
A
- all children w/intellectual disability have developmental delay
- intellectual disability:
- present @ childhood
- IQ at least 2 SD below mean (IQ < 70-75)
- limitations in >2 adaptive skill areas
- intellectual disability:
- Not all children with developmental delay have intellectual disability
3
Q
Examples of adaptive skill areas
A
- communication
- self care
- home living
- social skills
- community use
- self direction
- health safety
- leisure/work
4
Q
Degrees of Intellectual disability
A
- Mild = 50-70
- Moderate = 35-50
- Severe = 20-35
- Profound < 2
- **cannot reliably measure IQ before the age of 5
5
Q
Characteristics of cerebral palsy
A
- acquired (not genetically predisposed)
- e.g. stroke or infection
- non-progressive
- motor impairment
- onset: in utero, infancy or early development
6
Q
Types of cerebral palsy
A
- spastic (70-80%)
- quadraplegic = all limbs
- diplegic/paraplegic
- hemiplegic = single side
- athetoid/dyskinetic (~20%)
- ataxia (<10%)
7
Q
Characteristics of Autism
A
- abnormality in:
- social interaction
- social communication
- w/restriced repertoire of interests, behaviors, and activities
- delays/abnormal fxn in at least one of the following areas < 3yo:
- social interaction
- language
- symbolic/interactive play
- spectrum disorder
8
Q
Characteristics of Developmental Disability
A
- severe, chronic disability in >5yo that:
- mental or physical impairment or combo
- mainfests before age 22
- likely to be indefinite
9
Q
Developmental disability vs. intellectual disability
A
- DD = umbrella term that includes ID
- Cerebral palsy = DD, but not ID
10
Q
Types/etiologies of Developmental Disorders
A
- congenital = @ birth (can be aquired or inherited)
- CNS malformation
- genetic/heritable
- fragile
- trisomy 21
- acquired
- TORCHES = congenital infections
- perinatal stroke
11
Q
TORCHES =
A
- toxoplasmosis
- RSV
12
Q
Examples of congenital developmental disabilities
A
- CNS malformation
- malformed cortex
- neurocutaneous
- Intrauterine “acquire”
- infectious
- toxic
- stroke
13
Q
Examples of genetic Developmental Disabilities
A
- single gene disorders
- PKU
- Prader-willi/Angelman
- Fragile X
- chromosomal
- intersitions/deletions
- duplications (Trisomy 21)
14
Q
Examples of acquired/postnatal developmental disabilities
A
• Perinatal
– Asphyxia
– Prematurity/intracranial hemorrhage
– Stroke
• Trauma
– Non-accidental trauma
- Infectious
- Nutritional
- Metabolic
– Hypoglycemia
• Epileptic encephalopathy
15
Q
Developmental disability “practice parameter”
A
- Hx & PE
- Metabolic testing
- Cytogenetic studies
- Lead/thyroid
- EEG
- Neuroimaging
