CLIPP 28 Flashcards
corrected age calcluation
40-#gestational weeks, then subtract that result from the chronologic age
which age to use on growth charts
use corrected age unto 2yo (also for dvpt milestones)
when does pedal arch develop
in first 8 years of life - if feet are flat, first step is to consider if there is still flexibility
pigeon toeing is due to- and tx w -
internal tibial torsion - tx with ..it resolves by growth. braces do NOT correct this.
when do most kids start walking and by what age does it look mature
9-17 months, by 3 years of age
frameworks for developmental monitoring include these 5 areas
gross motor, fine motor, communication, problem solving, personal social
most variable component of development
langauge
milestones in spech dvpt
7 days - distinguish moms voice from another women
14 days - distinguish dads voice
6-7-8 months - vowel and consonants but doesn’t know how to apply them, like ‘mama’ but not knowing what this means
12 motnhs - mama dada has meaning and attached to correct person
15-gibberish, but may imbed real words (~10 words known)
18months - says nouns, special names, a few action words, does gestures and simple 2 step commands
2 years- toddler cn combine words like daddy go
when to screen for developmental thigns
9,18,30 months
MCHAT is what, and what ages
autusim screening, for 16-30months but routine autism screening is at 18 and 24 months
broad defn of premature infant
< 37w
4 things that can cause dvpt delay in preemie
BPD - poor growth due to higher cal requirements, CHF, infection and delay due to repeated hospitalization, underlying neuro dz etc
ROP - extraretinal fibrovasc prolife–>retinal detatch, blind
Hyperbilirubinemia - can lead to kernicterus and choreoathetoid CP, sensorineural hearing loss
Periventricular leukomalacia - damage to white matter around ventricles of brain due to hypoxia or ischemia or malformation
cystic PVL correlated to
CP
can gerd cause delay?
no but in preemies, more susceptible bc less competent LES.
non progressive motor delay and abnl neuro exam
CP
what cause regression of milestone
neurologic disorders as do psychosocial stressors
toe walking can be sign of
increased calf tone
Beyond the first few months of life, persistently closed hands or cortical thumbs (thumbs held in the palm within the fingers) are signs of -
CNS dysfunction
delayed acquisition of developmental milestones and hypertonia and spasticity on exam?
CP
spastic quadriplegia - involvemetn, etiology, ex
entire, gobal brain issue, varies
splastic diplegia- involvemetn, etiology, ex
legs >arms, periventric white matter issue, preemie infants
dyskinetic CP - athetoid, dystonic- involvemetn, etiology, ex
variable, bg cerebellum thalamus, peri natal asphyxia kernicterus
spastic hemiplegia
- involvemetn, etiology, ex
arm and leg on one side, unilateral UMN abnormal,stoke
ataxic CP- involvemetn, etiology, ex
entire, cerebellar abnormalities, cerebellar or pontocerebellar hypoplasia
bilingual kids have delay in –
expressiive langualge
can agars predict infant development outcome?
no - justa tool in predicing neonatal survival
biggest CP risk factors
premaurity (then IUGR , infiction, perinatal asphyxia)
common f/u tests in CP
optho, hearing, formal devpt testing, MRI
burshfield spots
assoc w DS, gray or yellow spots at periph of iris
syndromes assoc w/ intellec disabiltiy =
fragile x, ds, fas
defn of intellectual disability
Significant degree of cognitive impairment (typically defined as peforming at least two standard deviations below the mean on an intelligence test, i.e., an intelligence quotient [IQ] < 70)
Significant degree of impaired adaptive function (ability to peform everyday tasks)
Both impairments manifesting before age 18
Behavioral disturbances—such as hyperactivity, gaze avoidance, or autistic behavior—have been described.
fragile x
