Developmental Flashcards
Exam approach
1 IHUGVIDEP
- growth! - acknowledge you when come in? - aids
Look at abdo and back if get chance
2. Vision and hearing
- tell examiner to ring bell when remove toy
3. Fine motor
- blocks, drawing, play
4. Social/ personal/ language
- one or two step commands
5. Gross motor
- walk, run, hop, jump
- floppy baby 180
6. Primitive reflexes if doing 180
Summary at end of Dev exam
- Name, age, Growth and dysmorphisms
- Vision + hearing
- Isolated delay or GDD (2+ domains)
- Give a range for each domain
- Suggest cause
Could write max skill on growth chart
DDx isolated language delay
Invx
Hearing impairment
Oromotor problems - expressive
Formal audiology
SP
ENT
GDD DDx
Static:
Chromosomal disorders
Syndromes
Antenatal toxins
Interuterine infection *microceph
CP *microceph
DEE
Rett (girl)
Developmental invx
Neonatal and family hx
MRI B
UMS
TORCH serology
Karyotype - fragile X, kleinfelter (47xxy), turner (45XO)
Microarray
Nutritional work up
TSH
Ophthal, audio, ENT, SP
Parental ques:
Parental evaluation of developmental status (PEDS: birth to 7y 11mo)
Ages and stages (birth to 5)
Formal assessment:
Bayley scales of infant dev (<2y)
ADOS
Pulls to sit with no head lag
3 mo
Sit without support
6 mo
Rolls back to stomach
6-7 months
Walks alone
12-18 mo
Runs
16 mo
Jumps
2 yo
Throws ball overhand
4 yo
Hop 1 foot
4 yo
Walks on tip toes
3 yo
Social: smiles
2 mo
Social: visually tracking
3 mo
Social: mouths objects
9 mo
Social: stranger fear
9 mo
Social: removes socks
12 mo
Social: object permanence
12 months
Social: Parallel play
12 mo
Language: squeals, coos
3 mo
Language: early babble
6 mo
Language: established babble (nananananana)
9 mo
Language: Mum/ dad
12 mo
Ask - who’s that?
Language: several single words
18 mo
Language: 2 word combo
2 years
Language: short phrases and sentences
3 yrs
FM: hands closed
2 mo
FM: batting at objects
3 mo
FM: grasps objects
4 mo
FM: transfer object hand to hand
6 mo
FM: early pincer grasp
9 mo
FM: mature pincer grasp
12 mo
FM: marks paper
12 mo
Fisted grasp
1-2 years
Palmar grasp
2-3 yo
Digital pronate/ tennis raquette
2-3 y
Four or five finger pencil grasp
3-4 yo
Tripod pencil grasp
4-6 y
FM: 2 bricks
15 mo
FM: 3 bricks
18 mo
Tower of 6 bricks
2 yo
Train of 2 bricks
2 years
Choo choo! You do!
Bridge (3 blocks)
3 years