Developement triggers Flashcards
which screening tool covers the FOUR areas of personal-social, gross motor, fine motor adaptive, and language?
Denver developement tool.
the ages and stages questionnare covers these four PLUS problem solving.
which screening tool allows the physician to SUBJECTIVELY assess and observe a childs overall behavior
denver development screening tool
at what point should a child:
* participate in vocal exchanges
* track objects in the visual field
* recognize parents
1-2 months!
At what point should a child:
* Ulnar grasp
* look towards a voice
* follow objects but believe they dont exist anymore once theyve left the visual field
3-5 months
at what point should a child:
* reach for objects and bring them to their mouth
* sit with support
3-5 months!
At what point should a child:
* grasp things with thumb opposition
* pass objects from hand to hand in midline
* Immitate “bye bye”
6-8 months!
at what point should a child:
* commando crawl
* be inhibited by the word “NO”
* start to eat/feed themselves puffs/cheerios
6-8 mo
At what point should a child:
* use thumb and index finger to pick up small items
* recognize their name
* follow 1 step commands
9-11 mo
At what point should a child:
* start having object permanence
* start comprehending words
* pull themselves into a standing position
9-11 months
At what point should a child:
* point to an object that they want
* give toys on request
* independently walk
1 year
At what point should a child:
* say mama or dada +1-2 other words
* have a perfect neat pincer grasp
* build a tower of 2 cubes
1 year
At what point should a child:
* understand 2 step commands
* recognize 3 body parts
* throw a ball
18 mo
At what point should a child:
* sit themselves in a chair and walk up stairs w help
* carry a stuffed animal/doll
* eat w a spoon or fork
18 mo
At what point should a child:
* kick a ball
* turn book pages independently
* build a tower of 6-7 cubes
2 years
At what point should a child:
* imitate behvaiors. mimicry
* point to named objects
* have a 50 word vocab and use 2+ word phrases
2 years old
At what point should a child:
* walk backwards
* Hop on one foot
* talk enough to carry conversations
30 months
at what point should a child:
* copy a crude circle with crayon in fist
* refer to self as I
* use preposition
30 months
at what point should a child:
* hold a crayon w fingers
* copy a circle
* give 1st and last name
3 years
at what point should a child:
* draw a person w/o a torso
* know days of the week
* stand on 1 leg for 10s
4-5 years
at what point should a child:
* catch a ball
* skip smoothly
* tell their age
5-6 years
at what point should a child:
* know morning/afternoon
* read several one syllable words
6-7 years
at what point should a child:
* tie their shoes
* know the current day of the week
* add/subtract 1 digit numbers
7-8
how much should a child grow in length from months 8-12
.5-1 inch per month
by 8 months how much should babies weigh?
- boys: 14.5-17.5 lbs
- girls 14-17 lbs
what growth abnormality is caused by lack of calories, loss f calories, inability to use calories peripherally? describe how this would present
Type 1
normal head circumference. Weight dropping faster than height
what growth abnormality is caused by endocrinopathies, heart/renal dz, skeletal dysplasias, or genetically short statures? describe how this would present
type 2
normal head circumference with depressed height and weight
what growth abnormality is caused by CNS issues, chromosomal defects or utero/perinatal insults? describe how this would present
type 3
depressed height, weight and head circumference
pregnancy induced HTN, placental insufficiency, and poor weight gains in the mother during pregnancy can all lead to what?
asymmetrical SGA
when is the greulich-pyle scale used
left hand and wrist radiograph to evaluate bone age
what type of short stature are children with abnormal growth velocity likely to have
pathologic
short stature with normal or excessive weight gain is likely what etiologu
endocrine
A mother brings her 4 year old daughter to the clinic. The mother tells you that her daughter was adopted at 6 weeks old and she never met the biological parents. The childs records show she was born at a normal height and weight, however started to fall behind on the growth chart throughout her first two years of life. On examination of her past medical records, you realize that since about 2 years of age, she had been in the 2nd percentile for height and weight, however has been growing almost exactly parallel to the growth curve. What is the likely diagnosis that is causing this patients growth delay
familial short stature!
patients with delayed puberty and bone age that is less than chronological age with normal height velocity and final height are likely to have what diagnosis
constitutional short stature (Late bloomer)
a patient has decreased growth velocity and delayed skeletal maturation. what is the likely cause?
growth hormone deficiency (cause typically idiopathic)
why would we check IGF-1 & IGBFP-3
to check for growth hormone deficiency
Micropenis, truncal adiposity and subnormal growth velocity are all potential manifestations of what
growth hormone deficiency
(micropenis = GH def + gonadotropin def)
benign intracranial HTN and slipped capital femoral epiphysis are seen when?
SE of daily SC GH
GH secretion diminished, but GH replacement doesn’t help.
psychosocial short stature
treated with estrogen and GH
turners syndrome
large fontanelles, thick tongue, and intellectual delays are all some characteristics of what dianosis
congenital hypothyroidism
umbilical hernias, poor tone, and hoarsness are all characteristics of what
congenital hypothyroidism
Dry hair, sluggishness, delayed puberty and galactorrhea are characteristics of what
juvenile hypothyroidism
also will see delayed closure of fontanelles
methimazole is the first line for what dz? what is the non-first line tx?
- tx for hyperthyroidism in kiddos
- other tx include PTU, surgery, antityroid agents.
when is iodine ablation used as a treatment
refractory graves disease
when do we use BB and steroids as a treatment
temporary tx for neonatal graves disease (resolves w/i 3 months)
activation of GnRH early, causing earlier sex steroids characterizes what diagnosis
precocious puberty
McCune-Albright Syndrome and Congenital Adrenal Hyperplasia are things that can characterize what diagnosis?
peripheral precocious puberty
when is leuprolide used as treatment
precocious puberty in boys and girls!
which gender is more likely to have CNS abnormalities that cause precocious puberty
males
premature adrenarche but no actual change in time of puberty with normal linear growth and no bone age advancement are likely what diagnosis
benign precocious puberty
what do you treat with low dose estrogen and later on OCPs
delayed puberty in girls
Progressive hepatic cirrhosis & E. coli sepsis are the MCC of death in this dianosis
galactosemia
presents with severe mental impairement, hyperactivity, very light complexity, eczema, seizures.
untreated PKU
