Behavioral Peds

Question 0

Stuttering

Answer 0

generally 1.5-7yo at onset
occurs equally M/F but F more likely to outgrow, those in whom it persists are usu M
Normal:
    usu 2-5yo
    usu lasts 12-24mos
    brief, intermittent, worse when tired/stressed
    doesn't bother child
Mild:
     frequent (3% of speech)
     accompanied by eye closing, facial tension
     somewhat intermittent
     *refer if >6-8wks
Severe:
     10% of speech, prolonged
     consistent/nonfluctuating
     bothers child
     refer immediately

Question 1

Nocturnal Enuresis

Answer 1

Defined as >5yo
— 15% at 5yo, 1% by 15yo

Red Flags: diurnal enuresis (daytime accidents too), encopresis, dysuria/frequency/hesitancy, abnormal U/A

Question 2

Thumb Sucking

Answer 2

begins as early as 18wks in utero
peaks 18-21mos
normally resolves by age 4