Developmental Delay Flashcards
what is, ‘failure to attain appropriate developmental milestones for child’s corrected chronological age’ the definition of?
developmental delay
red flags for development:
\_\_\_\_\_\_\_\_\_ of movement Not reaching for objects by _ months Unable to \_\_\_ \_\_\_\_\_\_\_\_\_\_\_ by 12 months Unable to \_\_\_\_ by 18 months → check \_\_ (very \_\_\_\_ in \_\_\_\_\_\_\_\_ MD) No \_\_\_\_\_\_ by 18 months Concerns regarding \_\_\_\_\_\_ or \_\_\_\_\_\_\_ Loss of \_\_\_\_\_\_
red flags for development:
ASYMMETRY of movement Not reaching for objects by 6 months Unable to SIT UNSUPPORTED by 12 months Unable to STAND by 18 months → check CK (very HIGH in DUCHENNE MD) No SPEECH by 18 months Concerns regarding VISION or HEARING Loss of SKILLS
what does medical screening of Down’s syndrome consist of?
cardiac vision hearing thyroid sleep related breathing disorders growth charts development
name 2 motor delays
Duchenne Muscular Dystrophy and Cerebral Palsy
name a developmental deviation disorder
Autism Spectrum
what manoeuvre is associated with Duchenne muscular dystrophy?
Gower’s Manoeuvre
due to weakness of the pelvic muscles
what is seen in cerebral palsy?
bent/floppy arm walks on tiptoe on affected side ankle or foot contracture arm/head/mouth twisted brain damage knees press together legs and feet turned outward
name some conditions associated with cerebral palsy
mobility spasticity orthopaedic learning epilepsy visual/hearing communication feeding sleep behaviour
what consists the autism triad?
communication
social interaction
thought/imagination flexibility
name the 3 types of cerebral palsy.
hemiplegic
diplegic
quadriplegic
name the important visual impairment in cerebral palsy
occulocutaneous albinism
what should be covered in the history of a child with developmental delay?
concerns PMH perinatal and birth FH/SH developmental play and behaviour school/nursery
what is covered in the examination of a child with developmental delay?
observation dysmorphism head circumference systems CNS inc neurocutaneous vision hearing
what is covered in the investigations for a child with developmental delay?
chromosomes FRAX oligoarray CGH neonatal PKU thyroid studies CK MRI brain
name some appropriate assessment tools in developmental assessment
Griffiths (0-8yrs)
Bayleys (0-3yrs)
Schedule of Growing Skills (0-5yrs)
ADOS (ASD)
