development and developmental milestones Flashcards

1
Q

6 weeks gross motor

A

head control in vertical plane

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2
Q

3 months gross motor

A

no head lag on pulling to sit

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3
Q

6 months gross motor

A
  • pushes onto arms when lying on stomach
  • weight bears on legs
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4
Q

9 months gross motor

A
  • leans forward from sitting
  • stands holding onto furniture
  • may crawl
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5
Q

12 months gross motor

A
  • pulls to stand
  • cruises furniture
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6
Q

18 months gross motor

A
  • runs
  • climbs onto adult chair
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7
Q

2 years gross motor

A

up and down stairs with 2 feet

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8
Q

3 years gross motor

A
  • takes stairs 1 foot at a time
  • can jump off of stairs
  • stands on 1 foot
  • sit and steer on tricycle
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9
Q

4 years gross motor

A
  • hops
  • walks and runs on tip toes
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10
Q

5 years gross motor

A

rides a bike

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11
Q

6 weeks fine motor and vision

A

follows torch with eyes

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12
Q

3 months fine motor and vision

A

regards hands held in midline

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13
Q

6 months fine motor and vision

A
  • grasps toys
  • passes things from hand to hand
  • palmar grasp
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14
Q

9 months fine motor and vision

A

uses index finger to point

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15
Q

12 months fine motor and vision

A
  • bangs toys and throws them away
  • pincer grip
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16
Q

18 months fine motor and vision

A

builds a tower of 3 bricks

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17
Q

2 years fine motor and vision

A
  • scribbles
  • builds a tower of 6-7 bricks
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18
Q

3 years fine motor and vision

A
  • builds a tower of 9 bricks
  • copies circle
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19
Q

4 years fine motor and vision

A

able todraw simple picture of a man

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20
Q

5 years fine motor and vision

A

draw a triangle

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21
Q

6 weeks language and hearing

A

stills to voice

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22
Q

3 months language and hearing

A

starting to vocalise

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23
Q

6 months language and hearing

A
  • babbles
  • screams when annoyed
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24
Q

9 months language and hearing

A
  • localises to sound
  • babbling for self amusement
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25
Q

12 months language and hearing

A

responds to name

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26
Q

18 months language and hearing

A
  • knows 5-20 words
  • points to body parts
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27
Q

2 years language and hearing

A
  • understands simple instructions
  • > 50 words
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28
Q

3 years language and hearing

A
  • knows own name
  • asks lots of questions
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29
Q

4 years language and hearing

A
  • recounts stories
  • counts to 20
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30
Q

6 weeks social and play

A

social smile

31
Q

3 months social and play

A

reacts pleasurably to similar sounds

32
Q

6 months social and play

A

friendly with strangers

33
Q

9 months social and play

A
  • distinguishes strangers
  • plays peek a boo
34
Q

12 months social and play

A

drinks from cup

35
Q

18 months social and play

A
  • feeds with spoon
  • mimics adults
36
Q

2 years social and play

A
  • puts on shoes
  • feeding less messy
  • symbolic play
37
Q

3 years social and play

A
  • washes hands
  • vivid imagination
  • understands sharing
38
Q

4 years social and play

A
  • dresses and undresses
  • understands turn taking
39
Q

5 years social and play

A

ties shoe laces

40
Q

is it normal for kids to have a hand preference < 18 months

A

no (could be sign of cerebral palsy)

41
Q

what is a specific delay

A

delay in one of the four developmental areas

42
Q

what is a global delay

A

significant delay in 2 or more of the 4 developmental areas

43
Q

what is developmental regression

A

when there is normal development followed by a loss of skills previously attained (Rett syndrome, metabolic disorders)

44
Q

give 7 red flags of abnormal development

A
  • asymmetry of movement
  • not reaching for objects by 6 months
  • unable to sit unsupported by 12 months
  • unable to walk by 18 months
  • no speech by 10 months
  • concerns over vision or hearing
  • loss of skills
45
Q

what is trisomy 21

A

Down Syndrome

46
Q

Down syndrome features

A
  • dysmorphic face
  • low set ears
  • single palmar crease
  • short little finger
  • gap between hallux and second toe
  • duodenal atresia
  • atlantoaxial instability
  • Hirschsprung’s disease
47
Q

what is trisomy 18

A

Edwards syndrome

48
Q

Edwards syndrome features

A
  • microcephaly
  • micrognathia
  • small jaw
  • low set ears
  • wide spaced eyes
  • absent radius
  • rocker bottom feet
  • webbing of second and third toes
  • overlapping of fingers
49
Q

what is trisomy 13

A

Patau syndrome

50
Q

Patau syndrome features

A
  • cyclopia
  • microcephaly
  • extra fingers
  • microcephalic
  • small eyes
  • cleft lip/palate
  • polydactyly
  • scalp lesions
51
Q

what syndrome is deletion chromosome 5

A

Cru di Chat

52
Q

Cru di chat features

A
  • microcephaly and micrognathias
  • hypertelorism
  • learning difficulties
  • feeding difficulties and poor weight gain
  • high pitched characteristic cry (due to larynx and neurological problems)
  • moon face with widespread eyes
53
Q

Fragile X features

A
  • long protruding/large ears
  • long face
  • high arched palate
  • flat feet
  • hypermobility of joints
  • macrocephaly
  • learning difficulties
  • macro-orchidism
  • most common genetic cause of learning disability
  • x-linked
54
Q

what syndrome is deletion chromosome 22

A

DiGeorge syndrome

55
Q

DiGeorge syndrome

A
  • cardiac abnormalities (tetralogy)
  • abnormal face (flat, cleft)
  • hypocalcaemia
  • increased risk of infections and future risk of schizophrenia
56
Q

Noonan syndrome features

A
  • webbed neck
  • pectus excavatum
  • short stature
  • pulmonary stenosis
57
Q

Pierre-Robin syndrome features

A
  • micrognathia
  • posterior displacement of tongue (may result in upper airway obstruction)
  • cleft palate
58
Q

Prader-Willi syndrome features

A
  • hypotonia
  • hypogonadism
  • obesity
59
Q

William’s syndrome features

A
  • short stature
  • learning difficulties
  • friendly, extrovert personality
  • transient neonatal hypercalcaemia
  • supravalvular aortic stenosis
60
Q

what is Duchene’s muscular dystrophy

A

x-linked recessive muscular dystrophy caused by maturation in dystrophin gene

61
Q

Duchene’s muscular dystrophy presentation

A
  • boys aged 1-6 who are struggling to walk
  • proximal muscle wasting with pseudohypertrophy of calves
  • waddling gait
  • Gower’s manoeuvre (uses their hands to push themselves onto feet)
62
Q

Duchene’s muscular dystrophy diagnosis

A

very high serum CK

63
Q

Duchene’s muscular dystrophy complications

A
  • mobility will progressively get worse
  • death due to cardiac and respiratory failure in 20s
  • most common heart lesion is dilated cardiomyopathy
64
Q

what is Becker’s muscular dystrophy

A

slower onset form of Duchenne’s muscular dystrophy (semi-functional dystrophin produced)

65
Q

Becker’s muscular dystrophy presentation

A
  • later presentation than Duchene’s
  • proximal muscle wasting with pseudohypertrophy of calves
  • on examination
  • waddling gait
  • Gower’s manoeuvre (uses their hands to push themselves onto feet)
66
Q

what is cerebral palsy

A

umbrella term used to describe a chronic disorder of posture and movement caused by non-progressive CNS lesions sustained before 2 years old

67
Q

prenatal causes of cerebral palsy

A
  • alcohol
  • TORCH infections
68
Q

perinatal causes of cerebral palsy

A
  • hypoxia
  • distress
  • trauma
  • kernicterus
  • hypoglycaemia
69
Q

postnatal causes of cerebral palsy

A
  • periventricular haemorrhage
  • hypoxia
  • encephalitis
70
Q

cerebral palsy presentation

A
  • delayed motor development
  • learning disability
  • progressive CNS signs (weakness, altered sensations)
  • characterised based on distribution of neurological deficits
71
Q

what is affected in hemiplegic cerebral palsy

A

one arm and one leg

72
Q

what is affected in paraplegic cerebral palsy

A

both legs

73
Q

what is affected in diplegic cerebral palsy

A

both legs with minimal movements elsewhere

74
Q

what is affected in quadriplegic cerebral palsy

A

both arms and both legs