behaviour, intellectual, developmental issues in children

Question 1

behavioural problems in children
- ddx to consider (14)
(ref - CHECK 550 Child Development)

Answer 1

medical
* impaired vision or hearing
* hypothyroidism
* obstructive sleep apnoea
neuro
* absence seizures
* prior concussion
neuropsych
* autism spectrum disorder
* fetal alcohol spectrum disorder
* ADHD
psych
* disrupted attachment
* PTSD
* oppositional defiant disorder
* anxiety disorder
other
* intellectual disability
* global developmental delay
* language disorder

Question 2

difference between speech and language delays in children

Answer 2

speech delay means they don’t talk good

language delay means they have trouble understanding the words

Question 3

risk factors for speech or language delay (8)

Answer 3

medical

• birth asphyxia
• seizure disorder
• oropharyngeal deformity

familial

• multilingual environment
• consanguinity
• +ve family history
• low parental education
• inadequate stimulation

ref
- https://pubmed.ncbi.nlm.nih.gov/31198730/

Question 4

red flags suggesting language delay at age 3 (4)

Answer 4

expressive
not able to combine words into a sentence
not asking questions

receptive
no interest in books
can’t understand 2 step instructions

Question 5

identifying developmental delay - 2 questionnaires that parents can self administer

Answer 5

PEDS - parents evaluation of development status
or
ASQ - ages and stages questionnaire

Question 6

developmental delay assessment - questions to ask, and when is answer abnormal

Answer 6

When did the child sit unaided/unsupported? abnormal - >9/12
When did they start walking? abnormal - >16/12

Language: When did the child say their first clear word with a consistent meaning? abnormal - > 14/12, increasingly concerning every month thereafter

Social/self-help: When were they toilet trained in the day? abnormal - >3 yo