Paeds Hx: Developmental Delay and Milestones Flashcards

1
Q

Birth history what is important to ask

A
  • any problems before, during or after birth

- were all the scans and blood tests normal (very important if pt comes from abroad and did not have antenatal tests)

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2
Q

FHx of developmental delay important questions

A
  • do you know what age did his/her parents/siblings first started walking
  • how old is the mother? (important for conditions such as down’s syndrome)
  • Ask specifically about DUCHENNE Muscular Dystrophy
  • any chance that the parents could be related?
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3
Q

Developmental red flags

A
  • loss of skill at any age
    gross:
  • can’t sit unsupported by 12 months (median = 9 months)
  • not standing by 18 months (median = 12 months)
  • persistent toe walking (autism)

Speech and language:

  • loss of hearing at any point (do they respond to you?)
  • no speech by 18 months
  • 2 word phrases by 2 yrs of age

Social:
- not smiling by 2 months

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4
Q

Gross motor milestone median ages for:
head control
sits unsupported
walks unsupported

A

good head control = 6 months
sits unsupported = 9 months
walks unsupported = 18 months

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5
Q

vision and fine motor :
fix and follow
effective pincer grip
stack tower of 2-3 cubes/scribbles lines/use spoon

A

fix and follow = 2 months
pincer = 12 months
tower/scribbles line/uses spoon = 18 months

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6
Q

Hearing speech and language:
turn to sounds
imitates sounds
2 word phrases

A

turns to sounds = 3 months
imitates = 12 months
2 word phrases= 24 months

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7
Q

social:
smile
plays peekaboo
symbolic play

A

smile= 2 months
peekaboo = 12 months
symbolic play= 24 months

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