Development Flashcards
head control
3-4 months
rolling both ways
6 months
hands to midline
4 months
palmar grasp
6-8 months
pincer grasp
9-12 months
use spoon, copy line
2 years
dresses self (no buttons)
4-5 years
visual attention
2-4 months
2 word combos
2 years
3 word combos
3 years
2 word combos, 1/2 intelligible
2 years
3 word combos, 3/4 intelligible
3 years
phrased speech, 100% intelligible
4 years
stranger anxiety
5-6 months
separation anxiety
9-15 months
monsters
3-5 years
death
7-10 year olds
best friend
4-6 years
imaginative play
2-3 years
reciprocal play
3-5 yrs
parallel play
< 3 years
red flags - when to refer
regression, when parent is concerned
Incidence of CP
2/1000
Partum/intrapartum risk factors for HIE causing CP
maternal thyroid disease, fever during labour, treatment of infertility
most common cause of spastic cerebral palsy
periventricular leukomalacia
how to manage sleep disorders
- parents education
- bedtime routine
- consistent bedtime
- remove bad bedtime associations
- teach child to fall asleep on own
how to manage sleep disorders
- parents education
- bedtime routine
- consistent bedtime
- remove bad bedtime associations
- teach child to fall asleep on own
- extinction (let them cry)
characteristics of night terrors
- 1-3 hrs after falling asleep
- deep slow wave, non-REM
- child does not wake, does not recall episode
- fam hx is common
work up for intellectual disability
chromosomal microarray, fragile x, MECP2 (retts), thyroid (if normal NBS), lead/ferritin, metabolic testing, neuroimaging, vision/hearing testing
adhd symptoms must be present by age…
12
how many symptoms of inattention or hyperactivity do you need to be diagnosed with ADHD?
6/9
late side effect of stimulant medications
depression
risk of citalopram
long QT
SSRI with risk of long QT
citalopram
SSRI with most evidence
fluoxetine
benefits of long-acting ADHD meds
- better adherence
- reduced stigma (not taking pill at school)
- less misuse
