Developmental Delay Flashcards

1
Q

what is developmental delay

A

failure to attain appropriate developmental milestone for child’s corrected chronological age

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2
Q

what are the 3 patterns of abnormal development

A

delay, deviation and regression

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3
Q

what are causes of developmental delay

A

global=downs syndrome

specific=duchenne’s muscular dystrophy

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4
Q

what are causes of developmental deviation

A

autism

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5
Q

what are causes of developmental regression

A

rett’s syndrome

metabolic disorders

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6
Q

are developmental disorders common

A

yes

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7
Q

what %age of children have global development delay/learning or intellectual disability (school age)

A

3

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8
Q

what %age of uk children are on the autistic spectrum

A

1

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9
Q

what are some developmental red flags

A

asymmetry of movement, not reaching for objects by 6 months, unable to sit unsupported by 12 months, unable to walk by 18 months (check CK), no speech by 18 months, concerns about vision or hearing at any age and loss of skill at any age

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10
Q

what characterises global developmental delay

A

gross/fine motor, speech/language, cognition, social/personal, ADL

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11
Q

what are causes of global developmental delay

A

prenatal: genetics, metabolic, CNS malformation, infection, toxins
perinatal: prematurity, asphyxia
postnatal: infection, trauma, environmental

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12
Q

what gets screened for in downs syndrome

A

cardiac, vision, hearing, thyroid function, sleep-related breathing disorders, growth-charts, development

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13
Q

what %age of children have congenital cardiac problems

A

40

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14
Q

what can hearing problems be split into

A

conductive or sensory neural

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15
Q

how often are tests run for thyroid function

A

annually for hypothyroidism then 2 yearly in adults

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16
Q

is it possible to catch up in global developmental delay

A

not really

17
Q

what causes specific developmental delays: motor

A

duchenne muscular dystrophy, cerebral palsy, coordination disorders

18
Q

what causes specific developmental delay: language

A

specific language impairment

19
Q

what causes specific developmental delay: sensory deficits and associated delay

A

oculocutaneous albanism, treacher-collins

20
Q

what causes specific developmental delay: developmental deviations

A

autism

21
Q

what conditions are associated with cerebral palsy

A

mobility problems, spasticity and orthopaedic problems, learning difficulties, epilepsy, visual/hearing impairments, communication difficulties, feeding difficulties, sleep problems, behaviour problems

22
Q

what is an example of developmental deviation

A

autism

23
Q

what are the 3 main areas of impairment in autism

A

communication, social interaction and flexibility of thought/imagination
can also see restricted,

repetitive behaviours and sensory difficulties