Clinical 1 > Developmental > Flashcards

Developmental Flashcards

(46 cards)

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1
Q

Exam approach

A

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

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2
Q

Summary at end of Dev exam

A
  1. Name, age, Growth and dysmorphisms
  2. Vision + hearing
  3. Isolated delay or GDD (2+ domains)
  4. Give a range for each domain
  5. Suggest cause

Could write max skill on growth chart

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3
Q

DDx isolated language delay
Invx

A

Hearing impairment
Oromotor problems - expressive

Formal audiology
SP
ENT

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4
Q

GDD DDx

A

Static:
Chromosomal disorders
Syndromes
Antenatal toxins
Interuterine infection *microceph
CP *microceph

DEE
Rett (girl)

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5
Q

Developmental invx

A

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

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6
Q

Pulls to sit with no head lag

A

3 mo

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7
Q

Sit without support

A

6 mo

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8
Q

Rolls back to stomach

A

6-7 months

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9
Q

Walks alone

A

12-18 mo

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10
Q

Runs

A

16 mo

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11
Q

Jumps

A

2 yo

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12
Q

Throws ball overhand

A

4 yo

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13
Q

Hop 1 foot

A

4 yo

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14
Q

Walks on tip toes

A

3 yo

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15
Q

Social: smiles

A

2 mo

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16
Q

Social: visually tracking

A

3 mo

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17
Q

Social: mouths objects

A

9 mo

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18
Q

Social: stranger fear

A

9 mo

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19
Q

Social: removes socks

20
Q

Social: object permanence

21
Q

Social: Parallel play

22
Q

Language: squeals, coos

23
Q

Language: early babble

24
Q

Language: established babble (nananananana)

25
Language: Mum/ dad
12 mo Ask - who’s that?
26
Language: several single words
18 mo
27
Language: 2 word combo
2 years
28
Language: short phrases and sentences
3 yrs
29
FM: hands closed
2 mo
30
FM: batting at objects
3 mo
31
FM: grasps objects
4 mo
32
FM: transfer object hand to hand
6 mo
33
FM: early pincer grasp
9 mo
34
FM: mature pincer grasp
12 mo
35
FM: marks paper
12 mo
36
Fisted grasp 1-2 years
37
Palmar grasp 2-3 yo
38
Digital pronate/ tennis raquette 2-3 y
39
Four or five finger pencil grasp 3-4 yo
40
Tripod pencil grasp 4-6 y
41
42
FM: 2 bricks
15 mo
43
FM: 3 bricks
18 mo
44
Tower of 6 bricks
2 yo
45
Train of 2 bricks
2 years Choo choo! You do!
46
Bridge (3 blocks)
3 years
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