Special Needs Flashcards
1
Q
What is developmental delay?
A
-When functional aspects of the child’s development in one or more domains (motor, language, cognitive, social, emotional) are significantly delayed compared to the expected level for age
Performance below 2SD mean of age-appropriate, norm references testing
2
Q
Where may developmental delay present?
A
- Routine health surveillance
- Children with identified risk factors
- Parental concern
- Professional contact: nursery/ daycare
- Opportunistic health contact
- The UK Healthy Child programme
3
Q
What features may be explored in history in a patient with developmental delay?
A
- Family h/o neurodevelopmental/ genetic disorder
- H/O miscarriages
- Prenatal, perinatal, neonatal course
- Drugs and alcohol use in pregnancy
- Developmental, behavioural, social and educational history
- Record of medications
- Results of previous metabolic/ thyroid testing
- Neuroimaging
- Lead and iron screening
- Growth records
- Vision and hearing surveillance
- High index of suspicion for abuse and neglect
4
Q
What features may be explored in examination in a patient with developmental delay?
A
- Head circumference
- Dysmorphic features
- Skin abnormalities
- Movement quality
- Ability to sit and stand from supine
- Eye movements and eye examination
- General examination: CVS, Respiratory
- Abdominal examination
- Observation of behaviour
5
Q
What are some of the features of William’s Syndrome?
A
- Elfin facies (Broad forehead, Medial eyebrow flare, Strabismus, flatnasal bridge)
- Supravalvular AS, MR
6
Q
When may a child need additional support at school?
A
- Difficulties with mainstream approach to learning
- Disability/health needs
- Family circumstances
7
Q
What information do Child’s Plans contain?
A
- Why a child or young person needs support
- The type of support they will need
- How long they will need support and who should provide it.
